US20100159588A1

US20100159588A1 - Conditioned media and methods of making a conditioned media

Info

Publication number: US20100159588A1
Application number: US12/339,872
Authority: US
Inventors: Alexander M. Harmon; Abel Ang
Original assignee: Ethicon Inc
Current assignee: DePuy Spine LLC; DePuy Orthopaedics Inc; DePuy Synthes Products Inc
Priority date: 2008-12-19
Filing date: 2008-12-19
Publication date: 2010-06-24
Also published as: JP5791111B2; WO2010080364A3; BRPI0923064B1; ES2551732T3; CN102325871B; JP2012512654A; EP2379700A2; WO2010080364A2; CN102325871A; AU2009335962A1; US10179900B2; AU2009335962B2; EP2379700B1; CA2747727A1; PL2379700T3; BRPI0923064A2; CA2747727C

Abstract

A stable and scalable process is provided to manufacture reduced serum umbilical cord tissue-derived (UTC)-conditioned media. The method includes the culture of a UTC under reduced serum conditions. Subsequently, the UTC is washed and grown in serum-free basal media. After approximately 24 hours, the conditioned media is collected, filtered and concentrated by use of an approximately 5 kDa or similar cut-off membrane.

Description

CROSS REFERENCE TO RELATED APPLICATIONS

This application incorporates by reference U.S. Non-Provisional patent application Ser. No. 10/877,012, filed Jun. 25, 2004; U.S. Non-Provisional patent application Ser. No. 10/877,446, filed Jun. 25, 2004; and U.S. Non-Provisional patent application Ser. No. 11/939,360, filed Nov. 13, 2007. The contents of these applications are incorporated by reference herein in their entireties.

FIELD OF THE INVENTION

The invention relates to the field of conditioned media and methods of making the same. Specifically, the invention relates to a reduced serum conditioned media from postpartum-derived cells and umbilical tissue-derived cells.

BACKGROUND OF THE INVENTION

The potential use of mesenchymal stem cell (MSC) as a form of therapy in various diseases has been extensively studied. There is, however, a growing body of evidence that suggests the beneficial properties of MSCs may be exerted through a paracrine effect. Media in which MSCs were cultured were found to be enriched with trophic factors and cytokines secreted by the cells. This has generated numerous studies that utilize the media conditioned by cultured MSCs in various disease models of cardiac, lung and kidney injury as well as many others.
Postpartum-derived cells (PPDCs) and umbilical cord tissue-derived cells (UTCs), like MSCs, were found to secrete significant amounts of trophic factors and cytokines. Thus, stable and scalable processes are needed to manufacture PPDC- and UTC-conditioned media.

SUMMARY OF THE INVENTION

In a particular embodiment, a method of preparing a conditioned media includes seeding a UTC in a culture media; reducing serum content of the culture media; transferring the UTC from the culture media to a serum-free basal media; growing the UTC in the serum-free basal media; and isolating the UTC from the serum-free basal media leaving a conditioned media.
In certain embodiments, the UTC is grown in the serum-free basal media for up to 24 hours. In other embodiments, the conditioned media is filtered, such as by using an approximately 22 micron filter. In certain embodiments, the conditioned media is concentrated such as with a cut-off membrane; an example would be an approximately 5 kDa cut-off membrane.
In other embodiments, reducing serum content includes weaning the UTC from the culture media. In other embodiments, the weaning includes reducing serum content of the culture media in increments, such as increments of about 5% to about 60% and/or increments of about 50%. In certain embodiments, the UTC grows for about 1 to 3 passages in each increment or for about 2 passages in each increment. In other embodiments the culture media may be static culture or microcarrier bead culture. Certain embodiments may include preliminarily culturing UTC in a standard culture media and isolating the UTC from the standard culture media before seeding.
In some embodiments of a method, a conditioned media is prepared by providing a UTC in a culture media; reducing serum content of the culture media in one or more incremental steps; transferring the UTC from the reduced serum content culture media to a serum-free basal media when the serum content reaches a predetermined level; growing the UTC in the serum-free basal media for no more than 24 hours; and isolating the UTC from the serum-free basal media leaving a conditioned media.
In certain embodiments, the transferring comprises weaning the UTC from the culture media or replacing the reduced serum culture media with the serum-free basal media. The conditioned media may be filtered and concentrated.
In other embodiments, a conditioned media is generated by the seeding of a UTC in a culture media, wherein serum content of the culture media is reduced prior to transfer of the UTC to a serum-free basal media, and wherein the UTC is then isolated from the serum-free basal media leaving a conditioned media. The conditioned media may be filtered and concentrated.
Other features and advantages of the invention will be understood by reference to the detailed description and examples that follow.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 shows results from Example 2.

FIG. 2 shows results from Example 3.

DETAILED DESCRIPTION

In the following detailed description of the illustrative embodiments, reference is made to the accompanying drawings that form a part hereof. These embodiments are described in sufficient detail to enable those skilled in the art to practice the invention, and it is understood that other embodiments may be utilized and that logical structural, mechanical, electrical, and chemical changes may be made without departing from the spirit or scope of the invention. To avoid detail not necessary to enable those skilled in the art to practice the embodiments described herein, the description may omit certain information known to those skilled in the art. The following detailed description is, therefore, not to be taken in a limiting sense, and the scope of the illustrative embodiments are defined only by the appended claims.
To better clarify the invention, the below definitions are provided.
Stem cells are undifferentiated cells defined by the ability of a single cell both to self-renew, and to differentiate to produce progeny cells, including self-renewing progenitors, non-renewing progenitors, and terminally differentiated cells. Stem cells are also characterized by their ability to differentiate in vitro into functional cells of various cell lineages from multiple germ layers (endoderm, mesoderm and ectoderm), as well as to give rise to tissues of multiple germ layers following transplantation, and to contribute substantially to most, if not all, tissues following injection into blastocysts.
Stem cells are classified according to their developmental potential as: (1) totipotent; (2) pluripotent; (3) multipotent; (4) oligopotent; and (5) unipotent. Totipotent cells are able to give rise to all embryonic and extraembryonic cell types. Pluripotent cells are able to give rise to all embryonic cell types. Multipotent cells include those able to give rise to a subset of cell lineages, but all within a particular tissue, organ, or physiological system. For example, hematopoietic stem cells (HSC) can produce progeny that include HSC (self-renewal), blood cell-restricted oligopotent progenitors, and all cell types and elements (e.g., platelets) that are normal components of the blood. Cells that are oligopotent can give rise to a more restricted subset of cell lineages than multipotent stem cells. Cells that are unipotent are able to give rise to a single cell lineage (e.g., spermatogenic stem cells).
Stem cells are also categorized on the basis of the source from which they are obtained. An adult stem cell is generally a multipotent undifferentiated cell found in tissue comprising multiple differentiated cell types. The adult stem cell can renew itself Under normal circumstances, it can also differentiate to yield the specialized cell types of the tissue from which it originated, and possibly other tissue types. An embryonic stem cell is a pluripotent cell from the inner cell mass of a blastocyst-stage embryo. A fetal stem cell is one that originates from fetal tissues or membranes. A postpartum stem cell is a multipotent or pluripotent cell that originates substantially from extraembryonic tissue available after birth, namely, the placenta and the umbilical cord. These cells have been found to possess features characteristic of pluripotent stem cells, including rapid proliferation and the potential for differentiation into many cell lineages. Postpartum stem cells may be blood-derived (e.g., as are those obtained from umbilical cord blood) or non-blood-derived (e.g., as obtained from the non-blood tissues of the umbilical cord and placenta).
Differentiation is the process by which an unspecialized (“uncommitted”) or less specialized cell acquires the features of a specialized cell, such as a nerve cell or a muscle cell, for example. A differentiated cell is one that has taken on a more specialized (“committed”) position within the lineage of a cell. The term committed, when applied to the process of differentiation, refers to a cell that has proceeded in the differentiation pathway to a point where, under normal circumstances, it will continue to differentiate into a specific cell type or subset of cell types, and cannot, under normal circumstances, differentiate into a different cell type or revert to a less differentiated cell type. De-differentiation refers to the process by which a cell reverts to a less specialized (or committed) position within the lineage of a cell. As used herein, the lineage of a cell defines the heredity of the cell, i.e. which cells it came from and what cells it can give rise to. The lineage of a cell places the cell within a hereditary scheme of development and differentiation.
In a broad sense, a progenitor cell is a cell that has the capacity to create progeny that are more differentiated than itself, and yet retains the capacity to replenish the pool of progenitors. By that definition, stem cells themselves are also progenitor cells, as are the more immediate precursors to terminally differentiated cells. When referring to the cells of the present invention, as described in greater detail below, this broad definition of progenitor cell may be used. In a narrower sense, a progenitor cell is often defined as a cell that is intermediate in the differentiation pathway, i.e., it arises from a stem cell and is intermediate in the production of a mature cell type or subset of cell types. This type of progenitor cell is generally not able to self-renew. Accordingly, if this type of cell is referred to herein, it will be referred to as a non-renewing progenitor cell or as an intermediate progenitor or precursor cell.
As used herein, the phrase differentiates into a mesodermal, ectodermal or endodermal lineage refers to a cell that becomes committed to a specific mesodermal, ectodermal or endodermal lineage, respectively. Examples of cells that differentiate into a mesodermal lineage or give rise to specific mesodermal cells include, but are not limited to, cells that are adipogenic, chondrogenic, cardiogenic, dermatogenic, hematopoietic, hemangiogenic, myogenic, nephrogenic, urogenitogenic, osteogenic, pericardiogenic, or stromal. Examples of cells that differentiate into ectodermal lineage include, but are not limited to epidermal cells, neurogenic cells, and neurogliagenic cells. Examples of cells that differentiate into endodermal lineage include, but are not limited to, pleurigenic cells, hepatogenic cells, cells that give rise to the lining of the intestine, and cells that give rise to pancreogenic and splanchogenic cells.
The cells are more specifically umbilicus-derived cells or umbilical cord-derived cells (UDCs), or umbilical cord tissue-derived cells (UTCs). In addition, the cells may be described as being stem or progenitor cells, the latter term being used in the broad sense. The term derived is used to indicate that the cells have been obtained from their biological source and grown or otherwise manipulated in vitro (e.g., cultured in a Growth Medium to expand the population and/or to produce a cell line). The in vitro manipulations of umbilical stem cells and the unique features of the umbilicus-derived cells of the present invention are described in detail below.
Various terms are used to describe cells in culture. Cell culture refers generally to cells taken from a living organism and grown under controlled condition (“in culture” or “cultured”). A primary cell culture is a culture of cells, tissues, or organs taken directly from an organism(s) before the first subculture. Cells are expanded in culture when they are placed in a Growth Medium under conditions that facilitate cell growth and/or division, resulting in a larger population of the cells. When cells are expanded in culture, the rate of cell proliferation is sometimes measured by the amount of time needed for the cells to double in number. This is referred to as doubling time.
A cell line is a population of cells formed by one or more subcultivations of a primary cell culture. Each round of subculturing is referred to as a passage. When cells are subcultured, they are referred to as having been passaged. A specific population of cells, or a cell line, is sometimes referred to or characterized by the number of times it has been passaged. For example, a cultured cell population that has been passaged ten times may be referred to as a P10 culture. The primary culture, i.e., the first culture following the isolation of cells from tissue, is designated P0. Following the first subculture, the cells are described as a secondary culture (P1 or passage 1). After the second subculture, the cells become a tertiary culture (P2 or passage 2), and so on. It will be understood by those of skill in the art that there may be many population doublings during the period of passaging; therefore the number of population doublings of a culture is greater than the passage number. The expansion of cells (i.e., the number of population doublings) during the period between passaging depends on many factors, including but not limited to the seeding density, substrate, medium, growth conditions, and time between passaging.
A conditioned medium is a medium in which a specific cell or population of cells has been cultured, and then removed. When cells are cultured in a medium, they may secrete cellular factors that can provide trophic support to other cells. Such trophic factors include, but are not limited to hormones, cytokines, extracellular matrix (ECM), proteins, vesicles, antibodies, and granules. The medium containing the cellular factors is the conditioned medium.
Generally, a trophic factor is defined as a substance that promotes survival, growth, proliferation and/or maturation of a cell, or stimulates increased activity of a cell.
When referring to cultured vertebrate cells, the term senescence (also replicative senescence or cellular senescence) refers to a property attributable to finite cell cultures; namely, their inability to grow beyond a finite number of population doublings (sometimes referred to as Hayflick's limit). Although cellular senescence was first described using fibroblast-like cells, most normal human cell types that can be grown successfully in culture undergo cellular senescence. The in vitro lifespan of different cell types varies, but the maximum lifespan is typically fewer than 100 population doublings (this is the number of doublings for all the cells in the culture to become senescent and thus render the culture unable to divide). Senescence does not depend on chronological time, but rather is measured by the number of cell divisions, or population doublings, the culture has undergone. Thus, cells made quiescent by removing essential growth factors are able to resume growth and division when the growth factors are re-introduced, and thereafter carry out the same number of doublings as equivalent cells grown continuously. Similarly, when cells are frozen in liquid nitrogen after various numbers of population doublings and then thawed and cultured, they undergo substantially the same number of doublings as cells maintained unfrozen in culture. Senescent cells are not dead or dying cells; they are actually resistant to programmed cell death (apoptosis), and have been maintained in their nondividing state for as long as three years. These cells are very much alive and metabolically active, but they do not divide. The nondividing state of senescent cells has not yet been found to be reversible by any biological, chemical, or viral agent.
As used herein, the term growth medium generally refers to a medium sufficient for the culturing of cells. In particular, one presently preferred medium for the culturing of the cells of the invention in comprises Dulbecco's Modified Essential Media (DMEM). Particularly preferred is DMEM-low glucose (DMEM-LG) (Invitrogen, Carlsbad, Calif.). The DMEM-LG is preferably supplemented with serum, most preferably fetal bovine serum or human serum. Typically, 15% (v/v) fetal bovine serum (e.g. defined fetal bovine serum, Hyclone, Logan Utah) is added, along with antibiotics/antimycotics ((preferably 100 Unit/milliliter penicillin, 100 milligrams/milliliter streptomycin, and 0.25 microgram/milliliter amphotericin B; Invitrogen, Carlsbad, Calif.)), and 0.001% (v/v) 2-mercaptoethanol (Sigma, St. Louis Mo.). In some cases different growth media are used, or different supplementations are provided, and these are normally indicated in the text as supplementations to Growth Medium. In certain chemically-defined media the cells may be grown without serum present at all. In such cases, the cells may require certain growth factors, which can be added to the medium to support and sustain the cells. Presently preferred factors to be added for growth on serum-free media include one or more of bFGF, EGF, IGF-I, and PDGF. In more preferred embodiments, two, three or all four of the factors are add to serum free or chemically defined media. In other embodiments, LIF is added to serum-free medium to support or improve growth of the cells.
Also relating to the present invention, the term standard growth conditions, as used herein refers to culturing of cells at 37° C., in a standard atmosphere comprising 5% CO₂. Relative humidity is maintained at about 100%. While the foregoing conditions are useful for culturing, it is to be understood that such conditions are capable of being varied by the skilled artisan who will appreciate the options available in the art for culturing cells.
The term effective amount refers to a concentration or amount of a compound, material, or composition, as described herein, that is effective to achieve a particular biological result. Such results include, but are not limited to, the regeneration, repair, or improvement of skeletal tissue, the improvement of blood flow, and/or the stimulation and/or support of angiogenesis in peripheral ischemia patients. Such effective activity may be achieved, for example, by administering the cells and/or compositions of the present invention to peripheral ischemia patients. With respect to a UTC as administered to a patient in vivo, an effective amount may range from as few as several hundred or fewer to as many as several million or more. In specific embodiments, an effective amount may range from 10³-10¹¹, more specifically at least about 10⁴cells. It will be appreciated that the number of cells to be administered will vary depending on the specifics of the disorder to be treated, including but not limited to size or total volume/surface area to be treated, and proximity of the site of administration to the location of the region to be treated, among other factors familiar to the medicinal biologist.
The terms treat, treating or treatment refer to any success or indicia of success in the attenuation or amelioration of an injury, pathology or condition, including any objective or subjective parameter such as abatement, remission, diminishing of symptoms or making the injury, pathology, or condition more tolerable to the patient, slowing in the rate of degeneration or decline, making the final point of degeneration less debilitating, improving a subject's physical or mental well-being, or prolonging the length of survival. The treatment or amelioration of symptoms can be based on objective or subjective parameters; including the results of a physical examination, neurological examination, and/or psychiatric evaluations.
The terms effective period (or time) and effective conditions refer to a period of time or other controllable conditions (e.g., temperature, humidity for in vitro methods), necessary or preferred for an agent or pharmaceutical composition to achieve its intended result.
The terms patient or subject are used interchangeably herein, and refer to animals, preferably mammals, and more preferably humans, who are treated with the pharmaceutical or therapeutic compositions or in accordance with the methods described herein.
The term pharmaceutically acceptable carrier or medium, which may be used interchangeably with the term biologically compatible carrier or medium, refers to reagents, cells, compounds, materials, compositions, and/or dosage forms that are not only compatible with the cells and other agents to be administered therapeutically, but also are, within the scope of sound medical judgment, suitable for use in contact with the tissues of human beings and animals without excessive toxicity, irritation, allergic response, or other complication commensurate with a reasonable benefit/risk ratio. As described in greater detail herein, pharmaceutically acceptable carriers suitable for use in the present invention include liquids, semi-solid (e.g., gels) and solid materials (e.g., cell scaffolds and matrices, tubes sheets and other such materials as known in the art and described in greater detail herein). These semi-solid and solid materials may be designed to resist degradation within the body (non-biodegradable) or they may be designed to degrade within the body (biodegradable, bioerodable). A biodegradable material may further be bioresorbable or bioabsorbable, i.e., it may be dissolved and absorbed into bodily fluids (water-soluble implants are one example), or degraded and ultimately eliminated from the body, either by conversion into other materials or breakdown and elimination through natural pathways. The biodegradation rate can vary according to the desired release rate once implanted in the body. The matrix desirably also acts as a temporary scaffold until replaced by newly grown skeletal muscle, pericytes, vascular smooth muscle, or vascular endothelial tissue. Therefore, in one embodiment, the matrix provides for sustained release of the other agents used in conjunction with the cells and may provide a structure for developing tissue growth in the patient. In other embodiments, the matrix simply provides a temporary scaffold for the developing tissue. The matrix can be in particulate form (macroparticles greater than 10 microns in diameter or microparticles less than 10 microns in diameter), or can be in the form of a structurally stable, three-dimensional implant (e.g., a scaffold). The implant can be, for example, a cube, cylinder, tube, block, film, sheet, or an appropriate anatomical form.
Several terms are used herein with respect to cell or tissue transplantation. The terms autologous transfer, autologous transplantation, autograft and the like refer to transplantation wherein the transplant donor is also the transplant recipient. The terms allogeneic transfer, allogeneic transplantation, allograft and the like refer to transplantation wherein the transplant donor is of the same species as the transplant recipient, but is not the recipient. A cell transplant in which the donor cells have been histocompatibly matched with a recipient is sometimes referred to as a syngeneic transfer. The terms xenogeneic transfer, xenogeneic transplantation, xenograft and the like refer to transplantation wherein the transplant donor is of a different species than the transplant recipient.
Cells, cell populations and preparations including cell lysates and the like are described in detail in U.S. Patent Publication Nos. 20050054098 and 20050058631.
Conditioned medium from a cultured UTC may be used in vitro and in vivo. Use of the UTC or other conditioned medium may allow the beneficial trophic factors secreted by the UTC to be used allogeneically in a patient without introducing intact cells that could trigger rejection, or other adverse immunological responses. Conditioned medium is prepared by culturing cells in a culture medium, then removing the cells from the medium.
Conditioned medium prepared from populations of cells may be used as is, further concentrated, for example, by ultrafiltration or lyophilization, or even dried, partially purified, combined with pharmaceutically-acceptable carriers or diluents as are known in the art, or combined with other compounds such as biologicals, for example pharmaceutically useful protein compositions. Conditioned medium may be used in vitro or in vivo, alone or combined with autologous or syngeneic live cells, for example. The conditioned medium, if introduced in vivo, may be introduced locally at a site of treatment, or remotely to provide needed cellular growth or trophic factors to a patient.
According to embodiments of the present invention, a stable and scalable process is provided to manufacture reduced serum UTC-conditioned media. Briefly, the method includes the culture of a UTC under reduced serum conditions. Subsequently the UTC is washed and grown in serum-free basal media. After approximately 24 hours, the conditioned media is collected, filtered and concentrated by use of an approximately 5 kDa or similar molecular weight cut-off membrane.
A mammalian umbilical tissue-derived cell (UTC) may be isolated by following the methods described in U.S. Patent Publication Nos. 20050054098 and 20050058631. The isolated cell may then be grown in static culture by following the methods as described in U.S. Patent Publication Nos. 20050054098 and 20050058631 until the time at which the conditioned media is prepared.
The conditioned media may be prepared at any population doubling of the cells. In another embodiment, the conditioned media is prepared from about population doubling population doubling 20 to about population doubling 44. In yet another embodiment, conditioned media is prepared at about population doubling 30.
The conditioned media is prepared by first isolating the cells from a standard culture media that cells were grown in. Cells are then seeded in static culture at any seeding density. In one embodiment the cells are seeded at a density of from about 1,000 cells per cm squared to about 10,000 cells per cm squared. In yet another embodiment, the cells were seeded at a density of about 5,000 cells per cm squared.
Following cell seeding, at approximately 5,000 cells/cm², the cells are weaned from the standard culture media having a bovine serum content of about 15% by reducing the bovine serum content in the media in increments until the cells are grown only in basal media. The bovine serum may be reduced in increments of about 5 to about 60%. In one embodiment, the bovine serum is reduced in increments of about 50% ( i.e. 15%, 7.5%, 3.25%, and 0% bovine serum in the media). The cells are allowed to grow in each reduced serum media for about 1 to about 3 passages. In one embodiment, the cells are grown in each reduced serum media for about 2 passages. Prior to adding the final reduced bovine serum media, the cells are seeded at approximately 10,000 cells/cm². When the basal media (0% bovine serum) is added to the cells, the cells are kept in the media for no more than 24 hours.
The conditioned media is then isolated from the cells and filtered using an approximately 0.22 micron or similar filter. The filter may or may not be sterilized. The filtered conditioned media is then concentrated using an approximately 5K cut off filter or similar device. The filtrate is discarded while the concentrated conditioned media retained on the filter is collected.
In another embodiment, the isolated UTC cell is grown in microcarrier bead culture following the methods as described in U.S. Patent Publication No. 20080166328 (See Examples) until the time at which the conditioned media is prepared.
The conditioned media may be prepared at any population doubling of the cells. In another embodiment, the conditioned media is prepared from about population doubling 20 to about population doubling 44. In yet another embodiment, conditioned media is prepared at about population doubling 30.
Following cell seeding, at approximately 10,000 cells/cm²in microcarrier bead culture, the standard culture media is added to the cells and cultured for about 2 days. Subsequently, the standard culture media is removed and replaced with basal media. Alternately, the microcarrier bead culture may be weaned from the standard culture media similarly to the static culture. When the basal media (0% bovine serum) is added to the cells, the cells are kept in the media for no more than 24 hours.
The conditioned media is then isolated from the cells and filtered using an approximately 0.22 micron or similar filter. The filter may or may not be sterilized. The filtered conditioned media is then concentrated using an approximately 5K cut off filter or similar device. The filtrate is discarded while the concentrated conditioned media retained on the filter is collected.
Conventional conditioned media, although rich in proteins from the cultured cell type is also rich in proteins from the bovine serum present in the media. The conditioned media prepared by the methods described above is concentrated in human proteins. The bovine proteins are present in an amount that is below detection of standard characterization methods, such as SDS-PAGE and Western Blot analysis. The below detection amounts of bovine protein in the conditioned media are advantageous due to the subsequent reduced risk for transmission of bovine diseases and virus as well as reduced risk for xenoimmune reaction.
The conditioned media prepared as described herein is useful in place of conventional conditioned media.
The following examples describe the invention in greater detail. These examples are intended to further illustrate, not to limit, aspects of the invention described herein.

EXAMPLE 1

Factors Affecting the Generation of Conditioned Media from Cells Cultured on Static Flasks

The purpose of this study was to determine if the variation of different factors (media volume, cell seeding density, culture duration, population doubling of cells, proliferative state of cells and serum weaning) in the generation of conditioned media would affect the amount of protein as well as protein expression profile in the conditioned media.
As the general protocol, at least one UTC (isolation and characterization of a UTC may be found at Examples 5-14) was seeded at 10,000 cells/cm²(unless stated otherwise) on T-225 cm²flasks (Corning Inc, Corning N.Y.) in growth media (DMEM-Low Glucose (Gibco, Carlsbad, Calif.), 15% (v/v) gamma irradiated fetal bovine serum (Hyclone, Logan, Utah), 4 mM Glutamax (Gibco, Carlsbad, Calif.), 50 IU/mL Penicillin (Gibco, Carlsbad, Calif.) and 50 μg/mL Streptomycin (Gibco, Carlsbad, Calif.). After 48 hours, the spent media was aspirated off and the flask was washed twice with 10 mL D-PBS (Gibco, Carlsbad, Calif.) each time. During each wash, the flask was flushed twice with a serological pipette. 20 mL (unless stated otherwise) basal media (DMEM-Low Glucose (Gibco, Carlsbad, Calif.) and 4 mM Glutamax (Gibco, Carlsbad, Calif.)) was then added and cells were cultured for another 24 hours (unless stated otherwise). After 24 hours, the conditioned media was collected and filtered with a 0.22 μm filter flask (Corning, Corning N.Y.) and subsequently concentrated in a centrifugal filter tube (Centricon Plus-70, Millipore, Billerica, Mass.) with a molecular weight cut-off of 5 kDa. Samples were spun at 3200 g for 30 minutes at 20-25° C. in these centrifugal filter tubes. The retentates were collected by an inverted centrifugation of the filter tubes at 913 g for 5 minutes at 20-25° C. The resulting concentrated media was then deemed as the final product.
For a media volume study, cells were grown for 48 hours before switching into three different volumes of basal media (10, 25 and 40 mL). For the cell seeding density study, cells were seeded at 1,000, 5,000 and 10,000 cells/cm²for 48 hours before switching to basal media. For the duration of culture study, cells were cultured in basal media for 24, 48 and 72 hours prior to harvesting the conditioned media. For the population doubling of cells study, cells were grown to different population doublings before switching into the basal media. The final population doubling of cells at time of media collection was 20, 35 and 44. Two groups were used compare the affect of the proliferative state of cells. The first group consisted of proliferating cells that were seeded at 5,000 cells/cm²and grown in standard growth media prior to switching to basal media. The second group consisted of non-proliferating cells that were seeded at 10,000 cells/cm²and grown in 2% serum containing media prior to switching to basal media. The serum weaning study had two groups. The first group consisted of cells that were weaned for 2 consecutive passages from 15% to 7.5% and finally 3.25% serum containing media with a constant seeding density of 5,000cells/cm²except for the last passage that was seeded at 10,000 cells/cm²48 hours prior to switching to basal media. The second group followed the general protocol.
Protein Estimation. Total protein concentration in each concentrated media sample was estimated by the Bradford Assay. The Quick Start Bradford 1× Dye Reagent and Quick Start Bovine Serum Albumin Standard Set were obtained from Bio-Rad (Hercules, Calif.). Samples were diluted appropriately with Milli-Q water to fall within the linear range of the standard curve and ran in duplicates. Sample and Bradford dye mixture was briefly agitated and incubated in the dark for 5 minutes prior to reading at an optical density (OD) of 595 nm on a spectrophotometer (Molecular Devices, SpectraMax 190 with Softmax Pro v 4.0 software). The OD reading of the samples were converted to protein concentration based on the Standard Curve generated from the OD readings of the BSA Standards. The protein concentration was converted to total amount of protein present by multiplying the concentration to the volume of retentate collected after the concentration step.
SDS-PAGE. 5 μg of each sample were prepared in a Novex® Tris-Glycine SDS Sample Buffer (2×) (Invitrogen, Carlsbad, Calif.) with 5% (v/v) β-mercaptoethanol. After mixing, samples were heated at 95° C. for 5 minutes and cooled on ice before adding into the well. For protein separation, a Novex® Tris-Glycine pre-cast 4-20% gel and system was used (Invitrogen, Carlsbad, Calif.) with Novex® Tris-Glycine Running Buffer (Invitrogen, Carlsbad, Calif.) according to the manufacturer's protocol. Gels were stained with SIMPLYBLUE Safe Stain and dried using the DRYEASE Mini-Gel Drying System (Invitrogen, Carlsbad, Calif.) according to the manufacturer's protocol.

TABLE 1-1

Amount of total protein in the final conditioned media product

	Factor	Average Protein Amount (mg)

	1. Volume
	a) 10 mL	0.1413 ± 0.0390
	b) 25 mL	0.1450 ± 0.0165
	c) 40 mL	0.1607 ± 0.0393
	2. Cell seeding density
	a) 1,000 cells/cm²	0.0505 ± 0.0083
	b) 5,000 cells/cm²	0.1123 ± 0.0161
	c) 10,000 cells/cm²	0.1602 ± 0.0469
	3. Duration of culture
	a) 24 hours	0.1141 ± 0.0121
	b) 48 hours	0.2411 ± 0.0257
	c) 72 hours	0.3515 ± 0.0487
	4. Population doubling of cells
	a) PD20	0.0806 ± 0.0154
	b) PD35	0.0978 ± 0.0123
	c) PD44	0.1384 ± 0.0337
	5. Proliferation state of cells
	a) Proliferating	0.1046 ± 0.0137
	b) Non-proliferating	0.1040 ± 0.0336
	6. Serum weaning
	a) Unweaned	0.1312 ± 0.0300
	b) Weaned	0.0633 ± 0.0170

TABLE 1-2

Protein profile of the final conditioned media product

	Factor	Protein banding pattern

	1. Volume	No difference
	2. Cell seeding density	Loss of banding pattern at 1,000
		and 5,000 cells/cm²as compared
		to 10,000 cells/cm²
	3. Duration of culture	No difference
	4. Population doubling of cells	No difference
	5. Proliferation state of cells	No difference
	6. Serum weaning	No difference

Among the factors studied, only initial cell seeding density and duration of culture affected the total protein content with increasing protein content along with increasing cell density and duration of culture. Protein banding pattern was very consistent between samples except for the samples in the cells seeding density study where lower seeding densities resulted in a loss of protein banding pattern.

EXAMPLE 2

Reduced Serum Proteins in Conditioned Media Following a Serum Reduction Step

During production of conditioned media, the presence of FBS proteins in the final product is inevitable. Our findings show a substantial amount of FBS proteins present in the final product. The amount of FBS proteins present in the final product is substantially reduced through a one step serum reduction prior to the generation of conditioned media.
Generation of conditioned media. There were three groups of study. In the first group, cells were seeded onto T-225 flasks and fed with 50 mL of 15% FBS containing growth media. The second group consisted of cells seeded onto T-225 flasks and fed with 50 mL of 2% FBS containing media. The last group consisted of a T-225 flask not seeded with cells but filled with 50 mL of 15% FBS containing growth media. After 48 hours, the media from each flask was collected and stored at −80° C. The flasks were then washed twice with D-PBS (10 mL each time) and each wash was collected and stored at −80° C. 20 mL of basal media was then added to each flask and followed the exact protocol detailed in Example 1.
Protein analysis. A protein estimation was performed for the media and washes to determine the amount of proteins present; the methodology is described in Example 1. An SDS-PAGE of the final conditioned media was also performed to compare the protein banding pattern between groups; the methodology is described in Example 1. Western Blot was used to compare the amount of Bovine Serum Albumin (BSA) present in the final conditioned media product of each group. Samples were prepared in a 2× sample buffer (Invitrogen, Carlsbad, Calif.) with 5% β-mercaptoethanol. After mixing, samples were heated at 95° C. for 5 minutes and cooled on ice before adding into the well. For protein separation, a pre-cast 4-20% NOVEX Mini gel and system was used (Invitrogen). The gel was transferred onto a PVDF membrane (Invitrogen) in a wet transfer system (Bio-Rad, Hercules, Calif.) using standard Towbin's Buffer with 20% Methanol and 0.01% SDS. Transfer was done at 100V for 2 hours at 4° C. After transfer the membrane was blocked with a non-protein based blocking buffer (Pierce, Rockford, Ill.) and incubated with the primary antibody overnight on a rocker at 4° C. Mouse monoclonal anti-BSA (Sc-80705, Santa Cruz Biotech, Santa Cruz, Calif.) was used at a dilution of 1:1000 made up in fresh blocking buffer. The membrane was subsequently washed 3 times for 5 minutes each with PBST (Bio-Rad, Hercules, Calif.) and incubated with the secondary goat anti-mouse antibody (HAF007, RnD Systems, Minneapolis, Minn.). The blot was then washed 3 times for 5 minutes each in PBST and incubated in a chemiluminescent substrate (SuperSignal West Dura, Pierce, Rockford, Ill.) for 1 minute and then detected with a digital imaging system (Bio-Rad, Hercules, Calif.).

TABLE 2-1

Protein concentration in the washes and
final conditioned media product

Sample	Average Protein Concentration (mg/mL)

1. Cells + 15% FBS
a) Spent media	8.125 ± 0.423
b) Wash 1	0.335 ± 0.045
c) Wash 2	0.040 ± 0.002
2. Cells + 2% FBS
a) Spent Media	1.239 ± 0.098
b) Wash 1	0.043 ± 0.004
c) Wash 2	0.017 ± 0.002
3. No Cells + 15% FBS
a) Spent Media	7.597
b) Wash 1	0.303
c) Wash 2	0.033

See also FIG. 2.

When cultured in spinner flasks, the total amount of protein recovered in the conditioned media was about 4 times more than from static flasks and the final cell density in both static and spinner flasks were almost comparable. The presence of BSA in the spinner flask conditioned media was substantially lower as compared to that from the static flask.

EXAMPLE 4

Determination of Proteins of Interest Present in the Conditioned Media by Multiplex ELISA

Generation of conditioned media. Conditioned media were made from static flasks and spinner flasks according to methods described in Example 3.
Detection of proteins of interest. Samples were diluted to 100 μg/mL with basal media in siliconized micro-centrifuge tubes to reduce loss of proteins by adhesion and shipped frozen to Pierce Biotechnology, Inc, Woburn, Mass. for the determination of amount of human and bovine proteins of interest present by SERCHLIGHT Multiplexed ELISA assay. Proteins of interest were measured using SEARCHLIGHT Proteom Arrays. The proteome arrays are multiplexed sandwich ELISAs for the quantitative measurement of two to 16 proteins per well. The arrays are produced by spotting a 2×2, 3×3 or 4×4 pattern of four to 16 different capture antibodies into each well of a 96-well plate. Following a typical sandwich ELISA procedure, the entire plate is imaged to a capture the chemiluminescent signal generated at each spot within each well of the plate. The amount of signal generated in each spot is proportional to the amount of target protein in the original standard or sample.

TABLE 4-1

Concentration of specific proteins in conditioned media

Human specific	Concentration	Bovine specific	Concentration
Protein	(pg/mL)	Protein	(pg/mL)

1. Static Flask		1. Static Flask
(a) BDNF	3755	(a) IFN-γ	ND
(b) HGF	56799	(b) IL-1β	ND
(c) IL-6	247585	(c) IL-2	ND
(d) TIMP-1	27274212	(d) IL-4	ND
(e) TIMP-2	2003995	(e) IL-6	ND
(f) VEGF	885	(f) TNF-α	ND
(g) FGFb	2440
(h) IL-8	250434
(i) MMP-7	126
(j) PDGF-AB	803
2. Spinner Flask		2. Spinner Flask
(a) BDNF	4001	(a) IFN-γ	ND
(b) HGF	181928	(b) IL-1β	ND
(c) IL-6	685722	(c) IL-2	ND
(d) TIMP-1	21747883	(d) IL-4	ND
(e) TIMP-2	9010533	(e) IL-6	ND
(f) VEGF	475	(f) TNF-α	ND
(g) FGFb	103
(h) IL-8	521599
(i) MMP-7	127
(j) PDGF-AB	485

ND—Not detectable

Concentration by means of filtration with a 5 kDa cut off membrane was shown to be a feasible method. This process is scalable with the use of ATF filtration systems. Analysis of the conditioned media contents revealed significant amounts of human growth factors and cytokines (BDNF, IL-8, HGF, TIMP-1, TIMP-2, VEGF, FGFb, IL-6 and MMP-7) and non-detectable amounts of bovine proteins (IFN-γ, IL-1β, IL-2, IL-4, IL-6 and TNF-α), except for BSA that was found to be present in varying quantities depending on the initial serum growth condition prior to making conditioned media.
The present invention is not limited to the embodiments described and exemplified above. It is capable of variation and modification within the scope of the appended claims.

EXAMPLE 5

Isolation of Cells

Umbilical cell isolation. Umbilical cords were obtained from National Disease Research Interchange (NDRI, Philadelphia, Pa.). The tissues were obtained following normal deliveries. The cell isolation protocols were performed aseptically in a laminar flow hood. To remove blood and debris, the cord was washed in phosphate buffered saline (PBS; Invitrogen, Carlsbad, Calif.) in the presence of penicillin at 100 Units/milliliter and streptomycin at 100 milligrams/milliliter, and amphotericin B at 0.25 micrograms/milliliter (Invitrogen Carlsbad, Calif.). The tissues were then mechanically dissociated in 150 cm²tissue culture plates in the presence of 50 milliliters of medium (DMEM-Low glucose or DMEM-High glucose; Invitrogen), until the tissue was minced into a fine pulp. The chopped tissues were transferred to 50 milliliter conical tubes (approximately 5 grams of tissue per tube).
The tissue was then digested in either DMEM-Low glucose medium or DMEM-High glucose medium, each containing 100 Units/milliliter, streptomycin at 100 milligrams/milliliter, and amphotericin B at 0.25 micrograms/milliliter and the digestion enzymes. In some experiments an enzyme mixture of collagenase and dispase was used (“C:D”) (collagenase (Sigma, St Louis, Mo.), 500 Units/milliliter; and dispase (Invitrogen), 50 Units/milliliter, in DMEM-Low glucose medium). In other experiments a mixture of collagenase, dispase and hyaluronidase (“C:D:H”) was used (C:D:H=collagenase, 500 Units/milliliter; dispase, 50 Units/milliliter; and hyaluronidase (Sigma), 5 Units/milliliter, in DMEM-Low glucose). The conical tubes containing the tissue, medium and digestion enzymes were incubated at 37° C. in an orbital shaker (Environ, Brooklyn, N.Y.) at 225 rpm for 2 hrs.
After digestion, the tissues were centrifuged at 150×g for 5 minutes, the supernatant was aspirated. The pellet was resuspended in 20 milliliters of Growth Medium (DMEM:Low glucose (Invitrogen), 15 percent (v/v) fetal bovine serum (FBS; defined fetal bovine serum; Lot #AND18475; Hyclone, Logan, Utah), 0.001% (v/v) 2-mercaptoethanol (Sigma), penicillin at 100 Units per milliliter, streptomycin at 100 micrograms per milliliter, and amphotericin B at 0.25 micrograms per milliliter; (each from Invitrogen, Carlsbad, Calif.)). The cell suspension was filtered through a 70-micron nylon BD FALCON Cell Strainer (BD Biosciences, San Jose, Calif.). An additional 5 milliliters rinse comprising Growth Medium was passed through the strainer. The cell suspension was then passed through a 40-micrometer nylon cell strainer (BD Biosciences, San Jose, Calif.) and chased with a rinse of an additional 5 milliliters of Growth Medium.
The filtrate was resuspended in Growth Medium (total volume 50 milliliters) and centrifuged at 150×g for 5 minutes. The supernatant was aspirated and the cells were resuspended in 50 milliliters of fresh growth medium. This process was repeated twice more.
After the final centrifugation, supernatant was aspirated and the cell pellet was resuspended in 5 milliliters of fresh growth medium. The number of viable cells was determined using trypan blue staining. Cells were then cultured under standard conditions.
The cells isolated from umbilical cord tissues were seeded at 5,000 cells/cm²onto gelatin-coated T-75 flasks (Corning Inc., Corning, N.Y.) in Growth Medium. After two days, spent medium and unadhered cells were aspirated from the flasks. Adherent cells were washed with PBS three times to remove debris and blood-derived cells. Cells were then replenished with Growth Medium and allowed to grow to confluence (about 10 days from passage 0) to passage 1. On subsequent passages (from passage 1 to 2 etc), cells reached sub-confluence (75-85 percent confluence) in 4-5 days. For these subsequent passages, cells were seeded at 5,000 cells/cm². Cells were grown in a humidified incubator with 5 percent carbon dioxide at 37° C.
Cells were isolated from tissues in DMEM-Low glucose medium with LIBERASE (2.5 milligrams per milliliter, Blendzyme 3; Roche Applied Sciences, Indianapolis, Ind.) and hyaluronidase (5 Units/milliliter, Sigma). Digestion of the tissue and isolation of the cells was as described for other protease digestions above, however, the LIBERASE/hyaluronidase mixture was used instead of the C:D or C:D:H enzyme mixture. Tissue digestion with LIBERASE resulted in the isolation of cell populations from tissues that expanded readily.
Procedures were compared for isolating cells from the umbilical cord using differing enzyme combinations. Enzymes compared for digestion included: i) collagenase; ii) dispase; iii) hyaluronidase; iv) collagenase:dispase mixture (C:D); v) collagenase:hyaluronidase mixture (C:H); vi) dispase:hyaluronidase mixture (D:H); and vii) collagenase:dispase:hyaluronidase mixture (C:D:H). Differences in cell isolation utilizing these different enzyme digestion conditions were observed (Table 5-1).
Other attempts were made to isolate pools of cells from umbilical cord by different approaches. In one instance umbilical cord was sliced and washed with growth medium to dislodge the blood clots and gelatinous material. The mixture of blood, gelatinous material and growth medium was collected and centrifuged at 150×g. The pellet was resuspended and seeded onto gelatin coated flasks in growth medium. From these experiments a cell population was isolated that readily expanded.
Cells have also been isolated from cord blood samples attained from NDRI. The isolation protocol used was that of International Patent Application PCT/US2002/029971 by Ho et al. Samples (50 milliliter and 10.5 milliliters, respectively) of umbilical cord blood (NDRI, Philadelphia Pa.) were mixed with lysis buffer (filter-sterilized 155 millimolar ammonium chloride, 10 millimolar potassium bicarbonate, 0. 1 millimolar EDTA buffered to pH 7.2 (all components from Sigma, St. Louis, Mo.)). Cells were lysed at a ratio of 1:20 cord blood to lysis buffer. The resulting cell suspension was vortexed for 5 seconds, and incubated for 2 minutes at ambient temperature. The lysate was centrifuged (10 minutes at 200×g). The cell pellet was resuspended in Complete Minimal Essential Medium (Gibco, Carlsbad Calif.) containing 10 percent fetal bovine serum (Hyclone, Logan Utah), 4 millimolar glutamine (Mediatech Herndon, Va.), penicillin at 100 Units per milliliter and streptomycin at 100 micrograms per milliliter (Gibco, Carlsbad, Calif.). The resuspended cells were centrifuged (10 minutes at 200×g), the supernatant was aspirated, and the cell pellet was washed in complete medium. Cells were seeded directly into either T75 flasks (Corning, N.Y.), T75 laminin-coated flasks, or T175 fibronectin-coated flasks (both Becton Dickinson, Bedford, Mass.).
To determine whether cell populations could be isolated under different conditions and expanded under a variety of conditions immediately after isolation, cells were digested in Growth Medium with or without 0.001 percent (v/v) 2-mercaptoethanol (Sigma, St. Louis, Mo.), using the enzyme combination of C:D:H, according to the procedures provided above. All cells were grown in the presence of penicillin at 100 Units per milliliter and streptomycin at 100 micrograms per milliliter. Under all tested conditions cells attached and expanded well between passage 0 and 1 (Table 5-2). Cells in conditions 5-8 and 13-16 were demonstrated to proliferate well up to 4 passages after seeding at which point they were cryopreserved.
The combination of C:D:H, provided the best cell yield following isolation, and generated cells that expanded for many more generations in culture than the other conditions (Table 5-1). An expandable cell population was not attained using collagenase or hyaluronidase alone. No attempt was made to determine if this result is specific to the collagenase that was tested.

TABLE 5-1

Isolation of cells from umbilical cord tissue
using varying enzyme combinations

Enzyme Digest	Cells Isolated	Cell Expansion

Collagenase	X	X
Dispase	+ (>10 h)	+
Hyaluronidase	X	X
Collagenase:Dispase	++ (<3 h)	++
Collagenase:Hyaluronidase	++ (<3 h)	+
Dispase:Hyaluronidase	+ (>10 h)	+
Collagenase:Dispase:Hyaluronidase	+++ (<3 h)	+++

Key:
+ = good,
++ = very good,
+++ = excellent,
X = no success

Cells attached and expanded well between passage 0 and 1 under all conditions tested for enzyme digestion and growth (Table 5-2). Cells in experimental conditions 5-8 and 13-16 proliferated well up to 4 passages after seeding, at which point they were cryopreserved. All cells were cryopreserved for further analysis.

TABLE 5-2

Isolation and culture expansion of cells under varying conditions:

Condition	Medium	15% FBS	BME	Gelatin	20% O₂	Growth Factors

1	DMEM-Lg	Y	Y	Y	Y	N
2	DMEM-Lg	Y	Y	Y	N (5%)	N
3	DMEM-Lg	Y	Y	N	Y	N
4	DMEM-Lg	Y	Y	N	N (5%)	N
5	DMEM-Lg	N (2%)	Y	N (Laminin)	Y	EGF/FGF (20 ng/ml)
6	DMEM-Lg	N (2%)	Y	N (Laminin)	N (5%)	EGF/FGF (20 ng/ml)
7	DMEM-Lg	N (2%)	Y	N	Y	PDGF/VEGF
				(Fibronectin)
8	DMEM-Lg	N (2%)	Y	N	N (5%)	PDGF/VEGF
				(Fibronectin)
9	DMEM-Lg	Y	N	Y	Y	N
10	DMEM-Lg	Y	N	Y	N (5%)	N
11	DMEM-Lg	Y	N	N	Y	N
12	DMEM-Lg	Y	N	N	N (5%)	N
13	DMEM-Lg	N (2%)	N	N (Laminin)	Y	EGF/FGF (20 ng/ml)
14	DMEM-Lg	N (2%)	N	N (Laminin)	N (5%)	EGF/FGF (20 ng/ml)
15	DMEM-Lg	N (2%)	N	N	Y	PDGF/VEGF
				(Fibronectin)
16	DMEM-Lg	N (2%)	N	N	N (5%)	PDGF/VEGF
				(Fibronectin)

Nucleated cells attached and grew rapidly. These cells were analyzed by flow cytometry and were similar to cells obtained by enzyme digestion.
The preparations contained red blood cells and platelets. No nucleated cells attached and divided during the first 3 weeks. The medium was changed 3 weeks after seeding and no cells were observed to attach and grow.
Populations of cells could be isolated from umbilical tissue efficiently using the enzyme combination collagenase (a metalloprotease), dispase (neutral protease) and hyaluronidase (mucolytic enzyme which breaks down hyaluronic acid). LIBERASE, which is a blend of collagenase and a neutral protease, may also be used. Blendzyme 3, which is collagenase (4 Wunsch units/gram) and thermolysin (1714 casein Units/gram), was also used together with hyaluronidase to isolate cells. These cells expanded readily over many passages when cultured in growth expansion medium on gelatin coated plastic.
Cells were also isolated from residual blood in the cords, but not cord blood. The presence of cells in blood clots washed from the tissue, which adhere and grow under the conditions used, may be due to cells being released during the dissection process.

Reference

Ho et al., WO2003025149 A2, “CELL POPULATIONS WHICH CO-EXPRESS CD49C AND CD90,” NEURONYX, INC. Application No. PCT/US02/29971, filed Sep. 20, 2002, A2 Published Mar. 27, 2003, A3 Published Dec. 18, 2003.

EXAMPLE 6

Growth Characteristics of Cells

The cell expansion potential of cells was compared to other populations of isolated stem cells. The process of cell expansion to senescence is referred to as Hayflick's limit (Hayflick, “The longevity of cultured human cells,” J. Am. Geriatr. Soc., 1974; 22(1); 1-12, Hayflick, “The strategy of senescence,” Gerontologist, 1974; 14(1); 37-45).
Tissue culture plastic flasks were coated by adding 20 milliliters 2% (w/v) gelatin (Type B: 225 Bloom; Sigma, St Louis, Mo.) to a T75 flask (Corning Inc., Corning, N.Y.) for 20 minutes at room temperature. After removing the gelatin solution, 10 milliliters phosphate-buffered saline (PBS) (Invitrogen, Carlsbad, Calif.) were added and then aspirated.
For comparison of growth expansion potential the following cell populations were utilized; i) Mesenchymal stem cells (MSC; Cambrex, Walkersville, Md.); ii) Adipose-derived cells (U.S. Pat. No. 6,555,374 B1; U.S. Patent Publication US20040058412); iii) Normal dermal skin fibroblasts (cc-2509 lot # 9F0844; Cambrex, Walkersville, Md.); and iv) Umbilicus-derived cells. Cells were initially seeded at 5,000 cells/cm²on gelatin-coated T75 flasks in Growth Medium. For subsequent passages, cell cultures were treated as follows. After trypsinization, viable cells were counted after trypan blue staining. Cell suspension (50 microliters) was combined with trypan blue (50 microliters, Sigma, St. Louis Mo.). Viable cell numbers were estimated using a hemocytometer.
Following counting, cells were seeded at 5,000 cells/cm²onto gelatin-coated T 75 flasks in 25 milliliters of fresh Growth Medium. Cells were grown in a standard atmosphere (5 percent carbon dioxide (v/v)) at 37° C. The Growth Medium was changed twice per week. When cells reached about 85 percent confluence they were passaged; this process was repeated until the cells reached senescence.
At each passage, cells were trypsinized and counted. The viable cell yield, population doublings [ln(cells final/cells initial)/ln 2], and doubling time (time in culture/population doubling) were calculated. For the purposes of determining optimal cell expansion, the total cell yield per passage was determined by multiplying the total yield for the previous passage by the expansion factor for each passage (i.e. expansion factor=cells final/cells initial).
The expansion potential of cells banked at passage 10 was also tested. A different set of conditions was used. Normal dermal skin fibroblasts (cc-2509 lot #9F0844; Cambrex, Walkersville, Md.), umbilicus-derived cells, and placenta-derived cells were tested. These cell populations had been banked at passage 10 previously, having been cultured at 5,000 cells/cm²at each passage to that point. The effect of cell density on the cell populations following cell thaw at passage 10 was determined. Cells were thawed under standard conditions, counted using trypan blue staining. Thawed cells were then seeded at 1,000 cells/cm²in Growth Medium. Cells were grown under standard atmospheric conditions at 37° C. Growth Medium was changed twice a week. Cells were passaged as they reached about 85% confluence. Cells were subsequently passaged until senescence, i.e., until they could not be expanded any further. Cells were trypsinized and counted at each passage. The cell yield, population doubling (ln(cells final/cells initial)/ln 2) and doubling time (time in culture)/population doubling). The total cell yield per passage was determined by multiplying total yield for the previous passage by the expansion factor for each passage (i.e., expansion factor=cells final/cells initial).
The expansion potential of freshly isolated umbilical cord tissue-derived cell cultures under low cell seeding conditions was tested in another experiment. Umbilicus-derived cells were isolated as described in Example 5. Cells were seeded at 1,000 cells/cm²and passaged as described above until senescence. Cells were grown under standard atmospheric conditions at 37° C. Growth Medium was changed twice per week. Cells were passaged as they reached about 85% confluence. At each passage, cells were trypsinized and counted by trypan blue staining. The cell yield, population doubling (ln(cell final/cell initial)/ln 2) and doubling time (time in culture/population doubling) were calculated for each passage. The total cell yield per passage was determined by multiplying the total yield for the previous passage by the expansion factor for each passage (i.e. expansion factor=cell final/cell initial). Cells were grown on gelatin and non-gelatin coated flasks.
It has been demonstrated that low O₂cell culture conditions can improve cell expansion in certain circumstances (Csete, Marie; Doyle, John; Wold, Barbara J.; McKay, Ron; Studer, Lorenz. Low oxygen culturing of central nervous system progenitor cells. US20040005704). In order to determine if cell expansion of umbilicus-derived cells could be improved by altering cell culture conditions, cultures of umbilicus-derived cells were grown in low oxygen conditions. Cells were seeded at 5,000 cells/cm²in Growth Medium on gelatin coated flasks. Cells were initially cultured under standard atmospheric conditions through passage 5, at which point they were transferred to low oxygen (5% O₂) culture conditions.
In other experiments cells were expanded on non-coated, collagen-coated, fibronectin-coated, laminin-coated and matrigel-coated plates. Cultures have been demonstrated to expand well on these different matrices.
Umbilicus-derived cells expanded for more than 40 passages generating cell yields of >1E17 cells in 60 days. In contrast, MSCs and fibroblasts senesced after <25 days and <60 days, respectively. Although both adipose-derived and omental cells expanded for almost 60 days they generated total cell yields of 4.5E12 and 4.24E13 respectively. Thus, when seeded at 5,000 cells/cm²under the experimental conditions utilized, umbilicus-derived cells expanded much better than the other cell types grown under the same conditions (Table 6-1).

TABLE 6-1

Growth characteristics for different cell
populations grown to senescence

		Total
		Population	Yield
Cell Type	Senescence	Doublings	(Total Cells)

MSC	24 d	8	4.72E7
Adipose-	57 d	24	4.5E12
derived cell
Fibroblasts	53 d	26	2.82E13
Umbilical	65 d	42	6.15E17

Umbilicus-derived cells and fibroblast cells expanded for greater than 10 passages generating cell yields of >1E11 cells in 60 days (Table 6-2). After 60 days under these conditions, the fibroblasts became senesced; whereas the umbilicus-derived cells senesced after 80 days, completing >50 population doublings.

TABLE 6-2

Growth characteristics for different cell populations using
low density growth expansion from passage 10 through senescence

Cell Type		Total Population	Yield
(Passage No.)	Senescence	Doublings	(Total Cells)

Fibroblast (P10)	80 days	43.68	2.59E11
Umbilical (P10)	80 days	53.6	1.25E14

Cells expanded well under the reduced oxygen conditions, however, culturing under low oxygen conditions does not appear to have a significant effect on cell expansion for umbilical cord tissue-derived cells. Standard atmospheric conditions have already proven successful for growing sufficient numbers of cells, and low oxygen culture is not required for the growth of umbilical cord tissue-derived cells.
The current cell expansion conditions of growing isolated umbilical cord tissue-derived cells at densities of about 5,000 cells/cm², in Growth Medium on gelatin-coated or uncoated flasks, under standard atmospheric oxygen, are sufficient to generate large numbers of cells at passage 11. Furthermore, the data suggests that the cells can be readily expanded using lower density culture conditions (e.g. 1,000 cells/cm²). Umbilical cord tissue-derived cell expansion in low oxygen conditions also facilitates cell expansion, although no incremental improvement in cell expansion potential has yet been observed when utilizing these conditions for growth. Presently, culturing umbilical cord tissue-derived cells under standard atmospheric conditions is preferred for generating large pools of cells. When the culture conditions are altered, however, cell expansion can likewise be altered. This strategy may be used to enhance the proliferative and differentiative capacity of these cell populations.
Under the conditions utilized, while the expansion potential of MSC and adipose-derived cells is limited, umbilical cord tissue-derived cells expand readily to large numbers.

References

Hayflick, “The longevity of cultured human cells,” J Am Geriatr Soc., 1974; 22; 1-12.
Hayflick, “The strategy of senescence,” Gerontologist, 1974; 14(1); 37-45.
United States Patent Publication No. 20040058412.
United States Patent Publication No. 20040048372.
United States Patent Publication No. 20040005704.

EXAMPLE 7

Growth of Cells in Medium Containing D-Valine

Cell lines used in cell therapy are preferably homogeneous and free from any contaminating cell type. Human cells used in cell therapy should have a normal number (46) of chromosomes with normal structure. To identify umbilical cord tissue-derived cell lines that are homogeneous and free from cells of non-postpartum tissue origin, karyotypes of cell samples were analyzed.
Umbilicus-derived cells (P5) and fibroblasts (P9) were seeded at 5,000 cells/cm²in gelatin-coated T75 flasks (Corning, Corning, N.Y.). After 24 hours the medium was removed and the cells were washed with phosphate buffered saline (PBS) (Gibco, Carlsbad, Calif.) to remove residual medium. The medium was replaced with a modified Growth Medium (DMEM with D-valine (special order Gibco), 15% (v/v) dialyzed fetal bovine serum (Hyclone, Logan, Utah), 0.001% (v/v) betamercaptoethanol (Sigma), penicillin at 50 Units/milliliter and streptomycin at 50 milligrams/milliliter (Gibco)).
Umbilicus-derived cells and fibroblast cells seeded in the D-valine-containing medium did not proliferate, unlike cells seeded in Growth Medium containing dialyzed serum. Fibroblasts cells changed morphologically, increasing in size and changing shape. All of the cells died and eventually detached from the flask surface after four weeks. Thus, it may be concluded that umbilical cord tissue-derived cells require L-valine for cell growth and to maintain long-term viability. L-valine is preferably not removed from the growth medium for umbilical cord tissue-derived cells.

References

Hongpaisan, “Inhibition of proliferation of contaminating fibroblasts by D-valine in cultures of smooth muscle cells from human myometrium,” Cell Biol Int., 2000; 24; 1-7.
Sordillo et al., “Culture of bovine mammary epithelial cells in D-valine modified medium: selective removal of contaminating fibroblasts,” Cell Biol Int Rep., 1988; 12; 355-64.

EXAMPLE 8

Karyotype Analysis of Cells

Cell lines used in cell therapy are preferably homogeneous and free from any contaminating cell type. Human cells used in cell therapy should have a normal number (46) of chromosomes with normal structure. To identify umbilical cord tissue-derived cell lines that are homogeneous and free from cells of non-postpartum tissue origin, karyotypes of cell samples were analyzed.
Umbilical cord tissue-derived cells from tissue of a male neonate were cultured in Growth Media. Umbilical cord tissue from a male neonate (X,Y) was selected to allow distinction between neonatal-derived cells and maternal derived cells (X,X). Cells were seeded at 5,000 cells per square centimeter in Growth Medium in a T25 flask (Corning, Corning, N.Y.) and expanded to 80% confluence. A T25 flask containing cells was filled to the neck with Growth Media. Samples were delivered to a clinical cytogenetics lab by courier (estimated lab to lab transport time is one hour). Chromosome analysis was performed by the Center for Human & Molecular Genetics at the New Jersey Medical School, Newark, N.J. Cells were analyzed during metaphase when the chromosomes are best visualized. Of twenty cells in metaphase counted, five were analyzed for normal homogeneous karyotype number (two). A cell sample was characterized as homogeneous if two karyotypes were observed. A cell sample was characterized as heterogeneous if more than two karyotypes were observed. Additional metaphase cells were counted and analyzed when a heterogeneous karyotype number (four) was identified.
All cell samples sent for chromosome analysis were interpreted by the cytogenetics laboratory staff as exhibiting a normal appearance. Three of the sixteen cell lines analyzed exhibited a heterogeneous phenotype (XX and XY) indicating the presence of cells derived from both neonatal and maternal origins (Table 8-1). Each of the cell samples was characterized as homogeneous. (Table 8-1).

TABLE 8-1

Karyotype results of Umbilical cord tissue-derived cells.

		Metaphase	Metaphase
		cells	cells	Number of	ISCN
Tissue	passage	counted	analyzed	karyotypes	Karyotype

Umbilical	23	20	5	2	46, XX
Umbilical	6	20	5	2	46, XY
Umbilical	3	20	5	2	46, XX

Key:
N—Neonatal side;
V—villous region;
M—maternal side;
C—clone

Chromosome analysis identified umbilicus-derived cells whose karyotypes appear normal as interpreted by a clinical cytogenetic laboratory. Karyotype analysis also identified cell lines free from maternal cells, as determined by homogeneous karyotype.

EXAMPLE 9

Flow Cytometric Evaluation of Cell Surface Markers

Characterization of cell surface proteins or “markers” by flow cytometry can be used to determine a cell line's identity. The consistency of expression can be determined from multiple donors, and in cells exposed to different processing and culturing conditions. Cell lines isolated from the umbilicus were characterized by flow cytometry, providing a profile for the identification of these cell lines.
Cells were cultured in Growth Medium, in plasma-treated T75, T150, and T225 tissue culture flasks (Corning, Corning, N.Y.) until confluent. The growth surfaces of the flasks were coated with gelatin by incubating 2% (w/v) gelatin (Sigma, St. Louis, Mo.) for 20 minutes at room temperature.
Adherent cells in flasks were washed in phosphate buffered saline (PBS); (Gibco, Carlsbad, Mo.) and detached with Trypsin/EDTA (Gibco). Cells were harvested, centrifuged, and resuspended in 3% (v/v) FBS in PBS at a cell concentration of 1×10⁷per milliliter. In accordance with the manufacture's specifications, antibody to the cell surface marker of interest (See below) was added to 100 microliters of cell suspension and the mixture was incubated in the dark for 30 minutes at 4° C. After incubation, cells were washed with PBS and centrifuged to remove unbound antibody. Cells were resuspended in 500 microliters PBS and analyzed by flow cytometry.
Flow cytometry analysis was performed with a FACScalibur instrument (Becton Dickinson, San Jose, Calif.).
The following antibodies to cell surface markers were used.

TABLE 9-1

Antibodies used in characterizing cell surface markers of UDCs.

Antibody	Manufacture	Catalog Number

CD10	BD Pharmingen (San Diego, CA)	555375
CD13	BD Pharmingen (San Diego, CA)	555394
CD31	BD Pharmingen (San Diego, CA)	555446
CD34	BD Pharmingen (San Diego, CA)	555821
CD44	BD Pharmingen (San Diego, CA)	555478
CD45RA	BD Pharmingen (San Diego, CA)	555489
CD73	BD Pharmingen (San Diego, CA)	550257
CD90	BD Pharmingen (San Diego, CA)	555596
CD117	BD Biosciences (San Jose, CA)	340529
CD141	BD Pharmingen (San Diego, CA)	559781
PDGFr-alpha	BD Pharmingen (San Diego, CA)	556002
HLA-A, B, C	BD Pharmingen (San Diego, CA)	555553
HLA-DR, DP,	BD Pharmingen (San Diego, CA)	555558
DQ
IgG-FITC	Sigma (St. Louis, MO)	F-6522
IgG-PE	Sigma (St. Louis, MO)	P-4685

Umbilical cord cells were analyzed at passages 8, 15, and 20.
To compare differences among donors, umbilical cord-derived cells from different donors were compared to each other.
Umbilical cord-derived cells cultured on gelatin-coated flasks were compared to umbilical cord-derived cells cultured on uncoated flasks.
Four treatments used for isolation and preparation of cells were compared. Cells derived from tissue by treatment with 1) collagenase; 2) collagenase/dispase; 3) collagenase/hyaluronidase; and 4) collagenase/hyaluronidase/dispase were compared.
Umbilical cord-derived cells at passage 8, 15, and 20 analyzed by flow cytometry all expressed CD10, CD13, CD44, CD73, CD 90, PDGFr-alpha and HLA-A, B, C, indicated by increased fluorescence relative to the IgG control. These cells were negative for CD31, CD34, CD45, CD117, CD141, and HLA-DR, DP, DQ, indicated by fluorescence values consistent with the IgG control.
Umbilical cord-derived cells isolated from separate donors analyzed by flow cytometry each showed positive for production of CD10, CD13, CD44, CD73, CD 90, PDGFr-alpha and HLA-A, B, C, reflected in the increased values of fluorescence relative to the IgG control. These cells were negative for production of CD31, CD34, CD45, CD117, CD141, and HLA-DR, DP, DQ with fluorescence values consistent with the IgG control.
Umbilical cord-derived cells expanded on gelatin and uncoated flasks analyzed by flow cytometry all were positive for production of CD10, CD13, CD44, CD73, CD 90, PDGFr-alpha and HLA-A, B, C, with increased values of fluorescence relative to the IgG control. These cells were negative for production of CD31, CD34, CD45, CD117, CD141, and HLA-DR, DP, DQ, with fluorescence values consistent with the IgG control.
Analysis of umbilical cord-derived cells by flow cytometry has established of an identity of these cell lines. Umbilical cord-derived cells are positive for CD10, CD13, CD44, CD73, CD90, PDGFr-alpha, HLA-A,B,C and negative for CD31, CD34, CD45, CD117, CD141 and HLA-DR, DP, DQ. This identity was consistent between variations in variables including the donor, passage, culture vessel surface coating, digestion enzymes, and placental layer. Some variation in individual fluorescence value histogram curve means and ranges were observed, but all positive curves under all conditions tested were normal and expressed fluorescence values greater than the IgG control, thus confirming that the cells comprise a homogeneous population which has positive expression of the markers.

EXAMPLE 10

Analysis of Cells by Oligonucleotide Array

Oligonucleotide arrays were used to compare gene expression profiles of umbilicus- and placenta-derived cells with fibroblasts, human mesenchymal stem cells, and another cell line derived from human bone marrow. This analysis provided a characterization of the cells and identified unique molecular markers for these cells.
Tissue-derived cells. Human umbilical cords and placenta were obtained from National Disease Research Interchange (NDRI, Philadelphia, Pa.) from normal full term deliveries with patient consent. The tissues were received and cells were isolated as described in Example 5. Cells were cultured in Growth Medium on gelatin-coated tissue culture plastic flasks. The cultures were incubated at 37° C. with 5% CO₂.
Fibroblasts. Human dermal fibroblasts were purchased from Cambrex Incorporated (Walkersville, Md.; Lot number 9F0844) and ATCC CRL-1501 (CCD39SK). Both lines were cultured in DMEM/F12 medium (Invitrogen, Carlsbad, Calif.) with 10% (v/v) fetal bovine serum (Hyclone) and penicillin/streptomycin (Invitrogen)). The cells were grown on standard tissue-treated plastic.
Human Mesenchymal Stem Cells (hMSC). hMSCs were purchased from Cambrex Incorporated (Walkersville, Md.; Lot numbers 2F1655, 2F1656 and 2F1657) and cultured according to the manufacturer's specifications in MSCGM Media (Cambrex). The cells were grown on standard tissue cultured plastic at 37° C. with 5% CO₂.
Human Iliac Crest Bone Marrow Cells (ICBM). Human iliac crest bone marrow was received from NDRI with patient consent. The marrow was processed according to the method outlined by Ho et al. (WO03/025149). The marrow was mixed with lysis buffer (155 mM NH₄Cl, 10 mM KHCO₃, and 0.1 mM EDTA, pH 7.2) at a ratio of 1 part bone marrow to 20 parts lysis buffer. The cell suspension was vortexed, incubated for 2 minutes at ambient temperature, and centrifuged for 10 minutes at 500×g. The supernatant was discarded and the cell pellet was resuspended in Minimal Essential Medium-alpha (Invitrogen) supplemented with 10% (v/v) fetal bovine serum and 4 mM glutamine. The cells were centrifuged again and the cell pellet was resuspended in fresh medium. The viable mononuclear cells were counted using trypan-blue exclusion (Sigma, St. Louis, Mo.). The mononuclear cells were seeded in tissue-cultured plastic flasks at 5×10⁴cells/cm². The cells were incubated at 37° C. with 5% CO₂at either standard atmospheric O₂or at 5% O₂. Cells were cultured for 5 days without a media change. Media and non-adherent cells were removed after 5 days of culture. The adherent cells were maintained in culture.
Actively growing cultures of cells were removed from the flasks with a cell scraper in cold phosphate buffered saline (PBS). The cells were centrifuged for 5 minutes at 300×g. The supernatant was removed and the cells were resuspended in fresh PBS and centrifuged again. The supernatant was removed and the cell pellet was immediately frozen and stored at −80° C. Cellular mRNA was extracted and transcribed into cDNA. cDNA was then transcribed into cRNA and biotin-labeled. The biotin-labeled cRNA was hybridized with Affymetrix GENECHIP HG-U133A oligonucleotide arrays (Affymetrix, Santa Clara, Calif.). The hybridizations and data collection were performed according to the manufacturer's specifications. The hybridization and data collection was performed according to the manufacturer's specifications. Data analyses were performed using “Significance Analysis of Microarrays” (SAM) version 1.21 computer software (Tusher et al., 2001, Proc. Natl. Acad. Sci. USA 98: 5116-5121).
Different populations of cells were analyzed in this study. The cells along with passage information, culture substrate, and culture media are listed in Table 10-1.

TABLE 10-1

Cells analyzed by the microarray study. The cells
lines are listed by their identification code along with passage
at the time of analysis, cell growth substrate, and growth media.

Cell Population	Passage	Substrate	Media

Umbilical (022803)	2	Gelatin	DMEM, 15% FBS, βME
Umbilical (042103)	3	Gelatin	DMEM, 15% FBS, βME
Umbilical (071003)	4	Gelatin	DMEM, 15% FBS, βME
Placenta (042203)	12	Gelatin	DMEM, 15% FBS, βME
Placenta (042903)	4	Gelatin	DMEM, 15% FBS, βME
Placenta (071003)	3	Gelatin	DMEM, 15% FBS, βME
ICBM (070203) (5% O₂)	3	Plastic	MEM 10% FBS
ICBM (062703) (std O₂)	5	Plastic	MEM 10% FBS
ICBM (062703)(5% O₂)	5	Plastic	MEM 10% FBS
hMSC (Lot 2F1655)	3	Plastic	MSCGM
hMSC (Lot 2F1656)	3	Plastic	MSCGM
hMSC (Lot 2F1657)	3	Plastic	MSCGM
hFibroblast (9F0844)	9	Plastic	DMEM-F12, 10% FBS
hFibroblast (CCD39SK)	4	Plastic	DMEM-F12, 10% FBS

The data were evaluated by Principle Component Analysis with SAM software as described above. Analysis revealed 290 genes that were expressed in different relative amounts in the cells tested. This analysis provided relative comparisons between the populations.
Table 10-2 shows the Euclidean distances that were calculated for the comparison of the cell pairs. The Euclidean distances were based on the comparison of the cells based on the 290 genes that were differentially expressed among the cell types. The Euclidean distance is inversely proportional to similarity between the expression of the 290 genes.

TABLE 10-2

The Euclidean Distances for the Cell Pairs.
The Euclidean distance was calculated for the cell types
using the 290 genes that were expressed differentially
between the cell types. Similarity between the cells is
inversely proportional to the Euclidean distance.

	Cell Pair	Euclidean Distance

	ICBM-hMSC	24.71
	Placenta-umbilical	25.52
	ICBM-Fibroblast	36.44
	ICBM-placenta	37.09
	Fibroblast-MSC	39.63
	ICBM-Umbilical	40.15
	MSC-Umbilical	46.86

Tables 10-3, 10-4, and 10-5 show the expression of genes increased in umbilical tissue-derived cells (Table 10-3), increased in placenta-derived cells (Table 10-4), and reduced in umbilical cord and placenta-derived cells (Table 10-5).

TABLE 10-4

Genes that were specifically increased in expression in umbilical
cord-derived cells as compared to the other cell lines assayed.
Genes Increased in Umbilicus-Derived Cells

		NCBI Accession
Probe Set ID	Gene Name	Number

202859_x_at	Interleukin 8	NM_000584
211506_s_at	Interleukin 8	AF043337
210222_s_at	reticulon
1	BC000314
204470_at	chemokine (C—X—C motif)	NM_001511
	ligand 1 (melanoma growth
	stimulating activity
206336_at	chemokine (C—X—C motif)	NM_002993
	ligand 6 (granulocyte chemotactic
	protein 2)
207850_at	Chemokine (C—X—C motif)	NM_002090
	ligand 3
203485_at	reticulon	1	NM_021136
202644_s_at	tumor necrosis factor, alpha-induced	NM_006290
	protein 3

TABLE 10-3

Genes that were specifically increased in expression in the
placenta-derived cells as compared to the other cell lines assayed.
Genes Increased in Placenta-Derived Cells

		NCBI
		Accession
Probe Set ID	Gene Name	Number

209732_at	C-type (calcium dependent, carbohydrate-	AF070642
	recognition domain) lectin, superfamily
	member 2 (activation-induced)
206067_s_at	Wilms tumor 1	NM_024426
207016_s_at	aldehyde dehydrogenase 1 family,	AB015228
	member A2
206367_at	Renin	NM_000537
210004_at	oxidized low density lipoprotein	AF035776
	(lectin-like) receptor 1
214993_at	Homo sapiens, clone IMAGE: 4179671,	AF070642
	mRNA, partial cds
202178_at	protein kinase C, zeta	NM_002744
209780_at	hypothetical protein DKFZp564F013	AL136883
204135_at	downregulated in ovarian cancer 1	NM_014890
213542_at	Homo sapiens mRNA;	AI246730
	cDNA DKFZp547K1113 (from
	clone DKFZp547K1113)

TABLE 10-5

Genes which were decreased in expression in the umbilical cord
and placenta cells as compared to the other cell lines assayed.
Genes Decreased in Umbilicus- and Placenta-Derived Cells

Probe Set		NCBI Accession
ID	Gene name	Number

210135_s_at	short stature homeobox 2	AF022654.1
205824_at	heat shock 27 kDa protein 2	NM_001541.1
209687_at	chemokine (C—X—C motif) ligand 12 (stromal cell-derived factor 1)	U19495.1
203666_at	chemokine (C—X—C motif) ligand 12 (stromal cell-derived factor 1)	NM_000609.1
212670_at	elastin (supravalvular aortic stenosis, Williams-Beuren syndrome)	AA479278
213381_at	Homo sapiens mRNA; cDNA DKFZp586M2022 (from clone	N91149
	DKFZp586M2022)
206201_s_at	mesenchyme homeobox 2 (growth arrest-specific homeobox)	NM_005924.1
205817_at	Sine oculis homeobox homolog 1 (Drosophila)	NM_005982.1
209283_at	crystallin, alpha B	AF007162.1
212793_at	dishevelled associated activator of morphogenesis 2	BF513244
213488_at	DKFZP586B2420 protein	AL050143.1
209763_at	similar to neuralin 1	AL049176
205200_at	Tetranectin (plasminogen binding protein)	NM_003278.1
205743_at	src homology three (SH3) and cysteine rich domain	NM_003149.1
200921_s_at	B-cell translocation gene 1, anti-proliferative	NM_001731.1
206932_at	cholesterol 25-hydroxylase	NM_003956.1
204198_s_at	runt-related transcription factor 3	AA541630
219747_at	hypothetical protein FLJ23191	NM_024574.1
204773_at	Interleukin 11 receptor, alpha	NM_004512.1
202465_at	Procollagen C-endopeptidase enhancer	NM_002593.2
203706_s_at	Frizzled homolog 7 (Drosophila)	NM_003507.1
212736_at	hypothetical gene BC008967	BE299456
214587_at	Collagen, type VIII, alpha 1	BE877796
201645_at	Tenascin C (hexabrachion)	NM_002160.1
210239_at	iroquois homeobox protein 5	U90304.1
203903_s_at	Hephaestin	NM_014799.1
205816_at	integrin, beta 8	NM_002214.1
203069_at	synaptic vesicle glycoprotein 2	NM_014849.1
213909_at	Homo sapiens cDNA FLJ12280 fis, clone MAMMA1001744	AU147799
206315_at	cytokine receptor-like factor 1	NM_004750.1
204401_at	potassium intermediate/small conductance calcium-activated	NM_002250.1
	channel, subfamily N, member 4
216331_at	integrin, alpha 7	AK022548.1
209663_s_at	integrin, alpha 7	AF072132.1
213125_at	DKFZP586L151 protein	AW007573
202133_at	transcriptional co-activator with PDZ-binding motif (TAZ)	AA081084
206511_s_at	Sine oculis homeobox homolog 2 (Drosophila)	NM_016932.1
213435_at	KIAA1034 protein	AB028957.1
206115_at	early growth response 3	NM_004430.1
213707_s_at	distal-less homeobox 5	NM_005221.3
218181_s_at	hypothetical protein FLJ20373	NM_017792.1
209160_at	aldo-keto reductase family 1, member C3 (3-alpha hydroxysteroid	AB018580.1
	dehydrogenase, type II)
213905_x_at	Biglycan	AA845258
201261_x_at	Biglycan	BC002416.1
202132_at	transcriptional co-activator with PDZ-binding motif (TAZ)	AA081084
214701_s_at	fibronectin 1	AJ276395.1
213791_at	Proenkephalin	NM_006211.1
205422_s_at	Integrin, beta-like 1 (with EGF-like repeat domains)	NM_004791.1
214927_at	Homo sapiens mRNA full length insert cDNA clone EUROIMAGE	AL359052.1
	1968422
206070_s_at	EphA3	AF213459.1
212805_at	KIAA0367 protein	AB002365.1
219789_at	natriuretic peptide receptor C/guanylate cyclase C (atrionatriuretic	AI628360
	peptide receptor C)
219054_at	hypothetical protein FLJ14054	NM_024563.1
213429_at	Homo sapiens mRNA; cDNA DKFZp564B222 (from clone	AW025579
	DKFZp564B222)
204929_s_at	vesicle-associated membrane protein 5 (myobrevin)	NM_006634.1
201843_s_at	EGF-containing fibulin-like extracellular matrix protein 1	NM_004105.2
221478_at	BCL2/adenovirus E1B 19 kDa interacting protein 3-like	AL132665.1
201792_at	AE binding protein 1	NM_001129.2
204570_at	cytochrome c oxidase subunit VIIa polypeptide 1 (muscle)	NM_001864.1
201621_at	neuroblastoma, suppression of tumorigenicity 1	NM_005380.1
202718_at	Insulin-like growth factor binding protein 2, 36 kDa	NM_000597.1

Tables 10-6, 10-7, and 10-8 show the expression of genes increased in human fibroblasts (Table 10-6), ICBM cells (Table 10-7), and MSCs (Table 10-8).

TABLE 10-6

Genes that were increased in expression in
fibroblasts as compared to the other cell lines assayed.
Genes increased in fibroblasts

	dual specificity phosphatase 2
	KIAA0527 protein
	Homo sapiens cDNA: FLJ23224 fis, clone ADSU02206
	dynein, cytoplasmic, intermediate polypeptide 1
	ankyrin 3, node of Ranvier (ankyrin G)
	inhibin, beta A (activin A, activin AB alpha polypeptide)
	ectonucleotide pyrophosphatase/phosphodiesterase 4 (putative
	function)
	KIAA1053 protein
	microtubule-associated protein 1A
	zinc finger protein 41
	HSPC019 protein
	Homo sapiens cDNA: FLJ23564 fis, clone LNG10773
	Homo sapiens mRNA; cDNA DKFZp564A072 (from clone
	DKFZp564A072)
	LIM protein (similar to rat protein kinase C-binding enigma)
	inhibitor of kappa light polypeptide gene enhancer in B-cells,
	kinase complex-associated protein
	hypothetical protein FLJ22004
	Human (clone CTG-A4) mRNA sequence
	ESTs, Moderately similar to cytokine receptor-like factor 2;
	cytokine receptor CRL2 precursor [Homo sapiens]
	transforming growth factor, beta 2
	hypothetical protein MGC29643
	antigen identified by monoclonal antibody MRC OX-2

TABLE 10-7

Genes that were increased in expression in the
ICBM-derived cells as compared to the other cell lines assayed.
Genes Increased In ICBM Cells

	cardiac ankyrin repeat protein
	MHC class I region ORF
	integrin, alpha 10
	hypothetical protein FLJ22362
	UDP-N-acetyl-alpha-D-galactosamine: polypeptide
	N-acetylgalactosaminyltransferase 3
	(GalNAc-T3)
	interferon-induced protein 44
	SRY (sex determining region Y)-box 9 (campomelic dysplasia,
	autosomal sex-reversal)
	keratin associated protein 1-1
	hippocalcin-like 1
	jagged 1 (Alagille syndrome)
	proteoglycan 1, secretory granule

TABLE 10-8

Genes which were increased in expression in the
MSC cells as compared to the other cell lines assayed.
Genes Increased In MSC Cells

	interleukin 26
	maltase-glucoamylase (alpha-glucosidase)
	nuclear receptor subfamily 4, group A, member 2
	v-fos FBJ murine osteosarcoma viral oncogene homolog
	hypothetical protein DC42
	nuclear receptor subfamily 4, group A, member 2
	FBJ murine osteosarcoma viral oncogene homolog B
	WNT1 inducible signaling pathway protein 1
	MCF.2 cell line derived transforming sequence
	potassium channel, subfamily K, member 15
	cartilage paired-class homeoprotein 1
	Homo sapiens cDNA FLJ12232 fis, clone MAMMA1001206
	Homo sapiens cDNA FLJ34668 fis, clone LIVER2000775
	jun B proto-oncogene
	B-cell CLL/lymphoma 6 (zinc finger protein 51)
	zinc finger protein 36, C3H type, homolog (mouse)

The present example was performed to provide a molecular characterization of the cells derived from umbilical cord and placenta. This analysis included cells derived from three different umbilical cords and three different placentas. The study also included two different lines of dermal fibroblasts, three lines of mesenchymal stem cells, and three lines of iliac crest bone marrow cells. The mRNA that was expressed by these cells was analyzed on a GENECHIP oligonucleotide array that contained oligonucleotide probes for 22,000 genes.
The analysis revealed that transcripts for 290 genes were present in different amounts in these five different cell types. These genes include seven genes specifically increased in the umbilical tissue-derived cells and ten genes that are specifically increased in the placenta-derived cells. Fifty-four genes were found to have specifically lower expression levels in placenta and umbilical cord.
The expression of selected genes has been confirmed by PCR, as shown in Example 11. Cells generally, and umbilical derived cells, in particular, have distinct gene expression profiles, for example, as compared to other human cells, such as the bone marrow-derived cells and fibroblasts tested here.

EXAMPLE 11

Cell Markers

Gene expression profiles of cells derived from umbilical cord were compared with those of cells derived from other sources using an Affymetrix GENECHIP. Six “signature” genes were identified: oxidized LDL receptor 1, interleukin-8 (IL-8), renin, reticulon, chemokine receptor ligand 3 (CXC ligand 3), and granulocyte chemotactic protein 2 (GCP-2). These “signature” genes were expressed at relatively high levels in umbilicus-derived cells.
The procedures described in this example were conducted to verify the microarray data and compare data for gene and protein expression, as well as to establish a series of reliable assays for detection of unique identifiers for umbilical cord tissue-derived cells.
Umbilicus-derived cells (four isolates), and Normal Human Dermal Fibroblasts (NHDF; neonatal and adult) were grown in Growth Medium in gelatin-coated T75 flasks. Mesenchymal Stem Cells (MSCs) were grown in Mesenchymal Stem Cell Growth Medium Bullet kit (MSCGM; Cambrex, Walkerville, Md.).
For IL-8 experiments, cells were thawed from liquid nitrogen and plated in gelatin-coated flasks at 5,000 cells/cm², grown for 48 hours in Growth Medium and then grown further for 8 hours in 10 milliliters of serum starvation medium [DMEM—low glucose (Gibco, Carlsbad, Calif.), penicillin (50 Units/milliliter), streptomycin (50 micrograms/milliliter)(Gibco) and 0.1% (w/v) Bovine Serum Albumin (BSA; Sigma, St. Louis, Mo.)]. RNA was then extracted and the supernatants were centrifuged at 150×g for 5 minutes to remove cellular debris. Supernatants were frozen at ×80° C. until ELISA analysis.
Umbilical cord, as well as human fibroblasts derived from human neonatal foreskin, were cultured in Growth Medium in gelatin-coated T75 flasks. Cells were frozen at passage 11 in liquid nitrogen. Cells were thawed and transferred to 15 milliliter centrifuge tubes. After centrifugation at 150×g for 5 minutes, the supernatant was discarded. Cells were resuspended in 4 milliliters culture medium and counted. Cells were grown in a 75 cm²flask containing 15 milliliters of Growth Medium at 375,000 cell/flask for 24 hours. The medium was changed to a serum starvation medium for 8 hours. Serum starvation medium was collected at the end of incubation, centrifuged at 14,000×g for 5 minutes (and stored at −20° C.).
To estimate the number of cells in each flask, 2 milliliters of trypsin/EDTA (Gibco, Carlsbad, Calif.) were added each flask. After cells detached from the flask, trypsin activity was neutralized with 8 milliliters of Growth Medium. Cells were transferred to a 15 milliliter centrifuge tube and centrifuged at 150×g for 5 minutes. Supernatant was removed and 1 milliliter Growth Medium was added to each tube to resuspend the cells. Cell number was determined with a hemocytometer.
The amount of IL-8 secreted by the cells into serum starvation medium was analyzed using ELISA assays (R&D Systems, Minneapolis, Minn.). All assays were conducted according to the instructions provided by the manufacturer.
RNA was extracted from confluent umbilical cord-derived cells and fibroblasts, or for IL-8 expression, from cells treated as described above. Cells were lysed with 350 microliters buffer RLT containing beta-mercaptoethanol (Sigma, St. Louis, Mo.) according to the manufacturer's instructions (RNeasy Mini Kit; Qiagen, Valencia, Calif.). RNA was extracted according to the manufacturer's instructions (RNeasy Mini Kit; Qiagen, Valencia, Calif.) and subjected to DNase treatment (2.7 Units/sample) (Sigma St. Louis, Mo.). RNA was eluted with 50 microliters DEPC-treated water and stored at −80° C. RNA was also extracted from human umbilical cord. Tissue (30 milligrams) was suspended in 700 microliters of buffer RLT containing beta-mercaptoethanol. Samples were mechanically homogenized and the RNA extraction proceeded according to manufacturer's specification. RNA was extracted with 50 microliters of DEPC-treated water and stored at −80° C.
RNA was reverse-transcribed using random hexamers with the TaqMan reverse transcription reagents (Applied Biosystems, Foster City, Calif.) at 25° C. for 10 minutes, 37° C. for 60 minutes, and 95° C. for 10 minutes. Samples were stored at −20° C.
Genes identified by cDNA microarray as uniquely regulated in umbilical cord cells (signature genes—including oxidized LDL receptor, interleukin-8, renin, and reticulon), were further investigated using real-time and conventional PCR.
PCR was performed on cDNA samples using gene expression products sold under the tradename ASSAYS-ON-DEMAND (Applied Biosystems) gene expression products. Oxidized LDL receptor (Hs00234028); renin (Hs00166915); reticulon (Hs00382515); CXC ligand 3 (Hs00171061); GCP-2 (Hs00605742); IL-8 (Hs00174103); and GAPDH were mixed with cDNA and TaqMan Universal PCR master mix according to the manufacturer's instructions (Applied Biosystems) using a 7000 sequence detection system with ABI Prism 7000 SDS software (Applied Biosystems). Thermal cycle conditions were initially 50° C. for 2 minutes and 95° C. for 10 minutes, followed by 40 cycles of 95° C. for 15 seconds and 60° C. for 1 minute. PCR data were analyzed according to manufacturer's specifications (User Bulletin #2 from Applied Biosystems for ABI Prism 7700 Sequence Detection System).
Conventional PCR was performed using an ABI PRISM 7700 (Perkin Elmer Applied Biosystems, Boston, Mass.) to confirm the results from real-time PCR. PCR was performed using 2 microliters of cDNA solution (1×Taq polymerase (tradename AMPLITAQ GOLD) universal mix PCR reaction buffer (Applied Biosystems) and initial denaturation at 94° C. for 5 minutes. Amplification was optimized for each primer set. For IL-8, CXC ligand 3, and reticulon (94° C. for 15 seconds, 55° C. for 15 seconds and 72° C. for 30 seconds for 30 cycles); for renin (94° C. for 15 seconds, 53° C. for 15 seconds and 72° C. for 30 seconds for 38 cycles); for oxidized LDL receptor and GAPDH (94° C. for 15 seconds, 55° C. for 15 seconds and 72° C. for 30 seconds for 33 cycles). Primers used for amplification are listed in Table 11-1. Primer concentration in the final PCR reaction was 1 micromolar except for GAPDH which was 0.5 micromolar. GAPDH primers were the same as for real-time PCR, except that the manufacturer's TaqMan probe was not added to the final PCR reaction. Samples were separated on 2% (w/v) agarose gel and stained with ethidium bromide (Sigma, St. Louis, Mo.). Images were captured on 667 film (Universal Twinpack, VWR International, South Plainfield, N.J.) using a fixed focal-length POLAROID camera (VWR International, South Plainfield, N.J.).

TABLE 11-1

Primers used

Primer name	Primers

Oxidized	S: 5′-GAGAAATCCAAAGAGCAAATGG-3′	(SEQ ID
LDL		NO: 1)
receptor

	A: 5′-AGAATGGAAAACTGGAATAGG-3′	(SEQ ID
		NO: 2)

Renin	S: 5′-TCTTCGATGCTTCGGATTCC-3′	(SEQ ID
		NO: 3)

	A: 5′-GAATTCTCGGAATCTCTGTTG-3′	(SEQ ID
		NO: 4)

Reticulon	S: 5′-TTACAAGCAGTGCAGAAAACC-3′	(SEQ ID
		NO: 5)

	A: 5′-AGTAAACATTGAAACCACAGCC-3′	(SEQ ID
		NO: 6)

Inter-	S: 5′-TCTGCAGCTCTGTGTGAAGG-3′	(SEQ ID
leukin-8		NO: 7)

	A: 5′-CTTCAAAAACTTCTCCACAACC-3′	(SEQ ID
		NO: 8)

Chemokine	S: 5′-CCCACGCCACGCTCTCC-3′	(SEQ ID
(CXC)		NO: 9)
ligand 3

	A: 5′-TCCTGTCAGTTGGTGCTCC-3′	(SEQ ID
		NO: 10)

Umbilical cord-derived cells were fixed with cold 4% (w/v) paraformaldehyde (Sigma-Aldrich, St. Louis, Mo.) for 10 minutes at room temperature. One isolate each of umbilical cord-derived cells at passage 0 (P0) (directly after isolation) and passage 11 (P11) (two isolates of Umbilical cord-derived cells) and fibroblasts (P11) were used. Immunocytochemistry was performed using antibodies directed against the following epitopes: vimentin (1:500, Sigma, St. Louis, Mo.), desmin (1:150; Sigma—raised against rabbit; or 1:300; Chemicon, Temecula, Calif.—raised against mouse,), alpha-smooth muscle actin (SMA; 1:400; Sigma), cytokeratin 18 (CK18; 1:400; Sigma), von Willebrand Factor (vWF; 1:200; Sigma), and CD34 (human CD34 Class III; 1:100; DAKOCytomation, Carpinteria, Calif.). In addition, the following markers were tested on passage 11 umbilical cord-derived cells: anti-human GROalpha—PE (1:100; Becton Dickinson, Franklin Lakes, N.J.), anti-human GCP-2 (1:100; Santa Cruz Biotech, Santa Cruz, Calif.), anti-human oxidized LDL receptor 1 (ox-LDL R1; 1:100; Santa Cruz Biotech), and anti-human NOGA-A (1:100; Santa Cruz, Biotech).
Cultures were washed with phosphate-buffered saline (PBS) and exposed to a protein blocking solution containing PBS, 4% (v/v) goat serum (Chemicon, Temecula, Calif.), and 0.3% (v/v) Triton (Triton X-100; Sigma, St. Louis, Mo.) for 30 minutes to access intracellular antigens. Where the epitope of interest was located on the cell surface (CD34, ox-LDL R1), Triton X-100 was omitted in all steps of the procedure in order to prevent epitope loss. Furthermore, in instances where the primary antibody was raised against goat (GCP-2, ox-LDL R1, NOGO-A), 3% (v/v) donkey serum was used in place of goat serum throughout the process. Primary antibodies, diluted in blocking solution, were then applied to the cultures for a period of 1 hour at room temperature. The primary antibody solutions were removed and the cultures were washed with PBS prior to application of secondary antibody solutions (1 hour at room temperature) containing block along with goat anti-mouse IgG—Texas Red (1:250; Molecular Probes, Eugene, Oreg.) and/or goat anti-rabbit IgG—Alexa 488 (1:250; Molecular Probes) or donkey anti-goat IgG—FITC (1:150, Santa Cruz Biotech). Cultures were then washed and 10 micromolar DAPI (Molecular Probes) applied for 10 minutes to visualize cell nuclei.
Following immunostaining, fluorescence was visualized using an appropriate fluorescence filter on an Olympus inverted epi-fluorescent microscope (Olympus, Melville, N.Y.). In all cases, positive staining represented fluorescence signal above control staining where the entire procedure outlined above was followed with the exception of application of a primary antibody solution (no 1° control). Representative images were captured using a digital color videocamera and ImagePro software (Media Cybernetics, Carlsbad, Calif.). For triple-stained samples, each image was taken using only one emission filter at a time. Layered montages were then prepared using Adobe Photoshop software (Adobe, San Jose, Calif.).
Adherent cells in flasks were washed in phosphate buffered saline (PBS) (Gibco, Carlsbad, Calif.) and detached with Trypsin/EDTA (Gibco, Carlsbad, Calif.). Cells were harvested, centrifuged, and re-suspended 3% (v/v) FBS in PBS at a cell concentration of 1×10⁷/milliliter. One hundred microliter aliquots were delivered to conical tubes. Cells stained for intracellular antigens were permeabilized with Perm/Wash buffer (BD Pharmingen, San Diego, Calif.). Antibody was added to aliquots as per manufacturer's specifications, and the cells were incubated for in the dark for 30 minutes at 4° C. After incubation, cells were washed with PBS and centrifuged to remove excess antibody. Cells requiring a secondary antibody were resuspended in 100 microliter of 3% FBS. Secondary antibody was added as per manufacturer's specification, and the cells were incubated in the dark for 30 minutes at 4° C. After incubation, cells were washed with PBS and centrifuged to remove excess secondary antibody. Washed cells were resuspended in 0.5 milliliterPBS and analyzed by flow cytometry. The following antibodies were used: oxidized LDL receptor 1 (sc-5813; Santa Cruz, Biotech), GROa (555042; BD Pharmingen, Bedford, Mass.), Mouse IgG1 kappa, (P-4685 and M-5284; Sigma), and Donkey against Goat IgG (sc-3743; Santa Cruz, Biotech.). Flow cytometry analysis was performed with FACScalibur (Becton Dickinson San Jose, Calif.).
Results of real-time PCR for selected “signature” genes performed on cDNA from cells derived from human umbilical cord, adult and neonatal fibroblasts, and Mesenchymal Stem Cells (MSCs) indicate that both reticulon and oxidized LDL receptor expression were higher in umbilicus-derived cells as compared to other cells. The data obtained from real-time PCR were analyzed by the ΔΔCT method and expressed on a logarithmic scale. No significant differences in the expression levels of CXC ligand 3 and GCP-2 were found between cells and controls. The results of real-time PCR were confirmed by conventional PCR. Sequencing of PCR products further validated these observations. No significant difference in the expression level of CXC ligand 3 was found between cells and controls using conventional PCR CXC ligand 3 primers listed in Table 11-1.
The expression of the cytokine, IL-8 in umbilical cord cells was elevated in both Growth Medium-cultured and serum-starved umbilical cord-derived cells. All real-time PCR data were validated with conventional PCR and by sequencing PCR products.
After growth in serum-free media, the conditioned media were examined for the presence of IL-8. The greatest amounts of IL-8 were detected in media in which umbilical cells had been grown (Table 11-2). No IL-8 was detected in medium in which human dermal fibroblasts had been grown.

TABLE 11-2

IL-8 protein expression measured by ELISA

	Cell type	IL-8

	Human fibroblasts	ND
	UMBC Isolate 1	2058.42 ± 144.67
	UMBC Isolate 2	2368.86 ± 22.73

	Results of the ELISA assay for interleukin-8 (IL-8) performed on umbilical cord-derived cells as well as human skin fibroblasts. Values are presented here are picogram/million cells, n = 2, sem.
	ND: Not Detected

Cells derived from the human umbilical cord at passage 0 were probed for the production of selected proteins by immunocytochemical analysis. Immediately after isolation (passage 0), cells were fixed with 4% paraformaldehyde and exposed to antibodies for six proteins: von Willebrand Factor, CD34, cytokeratin 18, desmin, alpha-smooth muscle actin, and vimentin. Umbilical cord-derived cells were positive for alpha-smooth muscle actin and vimentin, with the staining pattern consistent through passage 11.
The production of GROalpha, GCP-2, oxidized LDL receptor 1 and reticulon (NOGO-A) in umbilical cord-derived cells at passage 11 was investigated by immunocytochemistry. Umbilical cord-derived cells were GCP-2 positive, but GRO alpha production was not detected by this method. Furthermore, cells were NOGO-A positive.
Accordance between gene expression levels measured by microarray and PCR (both real-time and conventional) has been established for four genes: oxidized LDL receptor 1, renin, reticulon, and IL-8. The expression of these genes was differentially regulated at the mRNA level in umbilical cord-derived cells, with IL-8 also differentially regulated at the protein level. Differential expression of GCP-2 and CXC ligand 3 was not confirmed at the mRNA level. Although this result does not support data originally obtained from the microarray experiment, this may be due to a difference in the sensitivity of the methodologies.
Cells derived from the human umbilical cord at passage 0 were probed for the expression of alpha-smooth muscle actin and vimentin and were positive for both. The staining pattern was preserved through passage 11.
In conclusion, the complete mRNA data at least partially verifies the data obtained from the microarray experiments.

EXAMPLE 12

Immunohistochemical Characterization of Cellular Phenotypes

The phenotypes of cells found within human umbilical cord was analyzed by immunohistochemistry.
Human umbilical cord tissue was harvested and immersion fixed in 4% (w/v) paraformaldehyde overnight at 4° C. Immunohistochemistry was performed using antibodies directed against the following epitopes (See Table 12-1): vimentin (1:500; Sigma, St. Louis, Mo.), desmin (1:150, raised against rabbit; Sigma; or 1:300, raised against mouse; Chemicon, Temecula, Calif.), alpha-smooth muscle actin (SMA; 1:400; Sigma), cytokeratin 18 (CK18; 1:400; Sigma), von Willebrand Factor (vWF; 1:200; Sigma), and CD34 (human CD34 Class III; 1:100; DAKOCytomation, Carpinteria, Calif.). In addition, the following markers were tested: anti-human GROalpha-PE (1:100; Becton Dickinson, Franklin Lakes, N.J.), anti-human GCP-2 (1:100; Santa Cruz Biotech, Santa Cruz, Calif.), anti-human oxidized LDL receptor 1 (ox-LDL R1; 1:100; Santa Cruz Biotech), and anti-human NOGO-A (1:100; Santa Cruz Biotech). Fixed specimens were trimmed with a scalpel and placed within OCT embedding compound (Tissue-Tek OCT; Sakura, Torrance, Calif.) on a dry ice bath containing ethanol. Frozen blocks were then sectioned (10 microns thick) using a standard cryostat (Leica Microsystems) and mounted onto glass slides for staining.
Immunohistochemistry was performed similar to previous studies (e.g., Messina, et al. (2003) Exper. Neurol. 184: 816-829). Tissue sections were washed with phosphate-buffered saline (PBS) and exposed to a protein blocking solution containing PBS, 4% (v/v) goat serum (Chemicon, Temecula, Calif.), and 0.3% (v/v) Triton (Triton X-100; Sigma) for 1 hour to access intracellular antigens. In instances where the epitope of interest would be located on the cell surface (CD34, ox-LDL R1), triton was omitted in all steps of the procedure in order to prevent epitope loss. Furthermore, in instances where the primary antibody was raised against goat (GCP-2, ox-LDL R1, NOGO-A), 3% (v/v) donkey serum was used in place of goat serum throughout the procedure. Primary antibodies, diluted in blocking solution, were then applied to the sections for a period of 4 hours at room temperature. Primary antibody solutions were removed, and cultures washed with PBS prior to application of secondary antibody solutions (1 hour at room temperature) containing block along with goat anti-mouse IgG-Texas Red (1:250; Molecular Probes, Eugene, Oreg.) and/or goat anti-rabbit IgG-Alexa 488 (1:250; Molecular Probes) or donkey anti-goat IgG-FITC (1:150; Santa Cruz Biotech). Cultures were washed, and 10 micromolar DAPI (Molecular Probes) was applied for 10 minutes to visualize cell nuclei.
Following immunostaining, fluorescence was visualized using the appropriate fluorescence filter on an Olympus inverted epifluorescent microscope (Olympus, Melville, N.Y.). Positive staining was represented by fluorescence signal above control staining. Representative images were captured using a digital color videocamera and ImagePro software (Media Cybernetics, Carlsbad, Calif.). For triple-stained samples, each image was taken using only one emission filter at a time. Layered montages were then prepared using Adobe Photoshop software (Adobe, San Jose, Calif.).

TABLE 12-1

Summary of Primary Antibodies Used

Antibody	Concentration	Vendor

Vimentin	1:500	Sigma, St. Louis, MO
Desmin (rb)	1:150	Sigma
Desmin (m)	1:300	Chemicon, Temecula, CA
alpha-smooth muscle actin	1:400	Sigma
(SMA)
Cytokeratin 18 (CK18)	1:400	Sigma
von Willebrand factor	1:200	Sigma
(vWF)
CD34 III	1:100	DakoCytomation,
		Carpinteria, CA
GROalpha-PE	1:100	BD, Franklin Lakes, NJ
GCP-2	1:100	Santa Cruz Biotech
Ox-LDL R1	1:100	Santa Cruz Biotech
NOGO-A	1:100	Santa Cruz Biotech

Vimentin, desmin, SMA, CK18, vWF, and CD34 markers were expressed in a subset of the cells found within umbilical cord (data not shown). In particular, vWF and CD34 expression were restricted to blood vessels contained within the cord. CD34+ cells were on the innermost layer (lumen side). Vimentin expression was found throughout the matrix and blood vessels of the cord. SMA was limited to the matrix and outer walls of the artery & vein, but not contained with the vessels themselves. CK18 and desmin were observed within the vessels only, desmin being restricted to the middle and outer layers.
Vimentin, desmin, alpha-smooth muscle actin, cytokeratin 18, von Willebrand Factor, and CD 34 are expressed in cells within human umbilical cord. Based on in vitro characterization studies showing that only vimentin and alpha-smooth muscle actin are expressed, the data suggests that the current process of umbilical cord-derived cell isolation harvests a subpopulation of cells or that the cells isolated change expression of markers to express vimentin and alpha-smooth muscle actin.

EXAMPLE 13

Secretion of Trophic Factors

The secretion of selected trophic factors from umbilicus-derived cells was measured. Factors were selected that have angiogenic activity (i.e., hepatocyte growth factor (HGF) (Rosen et al. (1997) Ciba Found. Symp. 212:215-26), monocyte chemotactic protein 1 (MCP-1) (Salcedo et al. (2000) Blood 96;34-40), interleukin-8 (IL-8) (Li et al. (2003) J. Immunol. 170:3369-76), keratinocyte growth factor (KGF), basic fibroblast growth factor (bFGF), vascular endothelial growth factor (VEGF) (Hughes et al. (2004) Ann. Thorac. Surg. 77:812-8), tissue inhibitor of matrix metalloproteinase 1 (TIMP1), angiopoietin 2 (ANG2), platelet derived growth factor (PDGFbb), thrombopoietin (TPO), heparin-binding epidermal growth factor (HB-EGF), stromal-derived factor 1alpha (SDF-1alpha)), neurotrophic/neuroprotective activity (brain-derived neurotrophic factor (BDNF) (Cheng et al. (2003) Dev. Biol. 258;319-33), interleukin-6 (IL-6), granulocyte chemotactic protein-2 (GCP-2), transforming growth factor beta2 (TGFbeta2)), or chemokine activity (macrophage inflammatory protein 1alpha (MIP 1alpha), macrophage inflammatory protein 1 beta (MIP1beta), monocyte chemoattractant-1 (MCP-1), Rantes (regulated on activation, normal T cell expressed and secreted), I309, thymus and activation-regulated chemokine (TARC), Eotaxin, macrophage-derived chemokine (MDC), IL-8).
Cells derived from umbilical cord, as well as human fibroblasts derived from human neonatal foreskin, were cultured in Growth Medium on gelatin-coated T75 flasks. Cells were cryopreserved at passage 11 and stored in liquid nitrogen. After thawing, Growth Medium was added to the cells, followed by transfer to a 15 milliliter centrifuge tube and centrifugation of the cells at 150×g for 5 minutes. The cell pellet was resuspended in 4 milliliters Growth Medium, and cells were counted. Cells were seeded at 5,000 cells/cm²in T75 flasks each containing 15 milliliters of Growth Medium, and cultured for 24 hours. The medium was changed to a serum-free medium (DMEM-low glucose (Gibco), 0.1% (w/v) bovine serum albumin (Sigma), penicillin (50 Units/milliliter) and streptomycin (50 micrograms/milliliter, Gibco)) for 8 hours. Conditioned serum-free medium was collected at the end of incubation by centrifugation at 14,000×g for 5 minutes and stored at −20° C.
To estimate the number of cells in each flask, cells were washed with phosphate-buffered saline (PBS) and detached using 2 milliliters trypsin/EDTA (Gibco). Trypsin activity was inhibited by addition of 8 milliliters Growth Medium. Cells were centrifuged at 150×g for 5 minutes. The supernatant was removed, and cells were resuspended in 1 milliliter Growth Medium. Cell number was estimated with a hemocytometer.
Cells were grown at 37° C. in 5% carbon dioxide and atmospheric oxygen. The amount of MCP-1, IL-6, VEGF, SDF-1alpha, GCP-2, IL-8, and TGF-beta2 produced by each cell sample was determined by ELISA (R&D Systems, Minneapolis, Minn.). All assays were performed according to the manufacturer's instructions. Values presented are picograms per milliliter per million cells (n=2, sem).
Chemokines (MIP1alpha, MIP1beta, MCP-1, Rantes, I309, TARC, Eotaxin, MDC, IL8), BDNF, and angiogenic factors (HGF, KGF, bFGF, VEGF, TIMP1, ANG2, PDGFbb, TPO, HB-EGF were measured using SearchLight Proteome Arrays (Pierce Biotechnology Inc.). The Proteome Arrays are multiplexed sandwich ELISAs for the quantitative measurement of two to sixteen proteins per well. The arrays are produced by spotting a 2×2, 3×3, or 4×4 pattern of four to sixteen different capture antibodies into each well of a 96-well plate. Following a sandwich ELISA procedure, the entire plate is imaged to capture the chemiluminescent signal generated at each spot within each well of the plate. The signal generated at each spot is proportional to the amount of target protein in the original standard or sample.
MCP-1 and IL-6 were secreted by umbilicus-derived cells and dermal fibroblasts (Table 13-1). SDF-1alpha and GCP-2 were secreted by fibroblasts. GCP-2 and IL-8 were secreted by umbilicus-derived cells. TGF-beta2 was not detected from either cell type by ELISA.

TABLE 13-1

ELISA Results: Detection of Trophic Factors

	MCP-1	IL-6	VEGF	SDF-1α	GCP-2	IL-8	TGF-beta2

Fibroblast	17 ± 1	61 ± 3	29 ± 2	19 ± 1	21 ± 1	ND	ND
Umbilical (022803)	1150 ± 74	4234 ± 289	ND	ND	160 ± 11	2058 ± 145	ND
Umbilical (071003)	2794 ± 84	1356 ± 43	ND	ND	2184 ± 98	2369 ± 23	ND

Key:
ND: Not Detected.,
=/− sem

SearchLight Multiplexed ELISA assay. TIMP1, TPO, KGF, HGF, FGF, HBEGF, BDNF, MIP1beta, MCP1, RANTES, I309, TARC, MDC, and IL-8 were secreted from cells (Tables 13-2 and 13-3). No Ang2, VEGF, or PDGFbb were detected.

TABLE 13-2

SearchLight Multiplexed ELISA assay results

	TIMP1	ANG2	PDGFbb	TPO	KGF	HGF	FGF	VEGF	HBEGF	BDNF

hFB	19306.3	ND	ND	230.5	5.0	ND	ND	27.9	1.3	ND
U1	57718.4	ND	ND	1240.0	5.8	559.3	148.7	ND	9.3	165.7
U3	21850.0	ND	ND	1134.5	9.0	195.6	30.8	ND	5.4	388.6

Key:
hFB (human fibroblasts),
U1 (umbilicus-derived (022803)),
U3 (umbilicus-derived (071003)).
ND: Not Detected.

TABLE 13-3

SearchLight Multiplexed ELISA assay results

	MIP1a	MIP1b	MCP1	RANTES	I309	TARC	Eotaxin	MDC	IL8

hFB	ND	ND	39.6	ND	ND	0.1	ND	ND	204.9
U1	ND	8.0	1694.2	ND	22.4	37.6	ND	18.9	51930.1
U3	ND	5.2	2018.7	41.5	11.6	21.4	ND	4.8	10515.9

Key:
hFB (human fibroblasts),
U1 (umbilicus-derived (022803)),
U3 (umbilicus-derived (071003)).
ND: Not Detected.

Umbilicus-derived cells secreted a number of trophic factors. Some of these trophic factors, such as HGF, bFGF, MCP-1 and IL-8, play important roles in angiogenesis. Other trophic factors, such as BDNF and IL-6, have important roles in neural regeneration or protection.

EXAMPLE 14

In Vitro Immunology

Umbilical cord cell lines were evaluated in vitro for their immunological characteristics in an effort to predict the immunological response, if any, these cells would elicit upon in vivo transplantation. Umbilical cord cell lines were assayed by flow cytometry for the expression of HLA-DR, HLA-DP, HLA-DQ, CD80, CD86, and B7-H2. These proteins are expressed by antigen-presenting cells (APC) and are required for the direct stimulation of naïve CD4⁺ T cells (Abbas & Lichtman, CELLULAR AND MOLECULAR IMMUNOLOGY, 5th Ed. (2003) Saunders, Philadelphia, p. 171). The cell lines were also analyzed by flow cytometry for the expression of HLA-G (Abbas & Lichtman, CELLULAR AND MOLECULAR IMMUNOLOGY, 5th Ed. (2003) Saunders, Philadelphia, p. 171), CD178 (Coumans et. al., (1999) Journal of Immunological Methods 224, 185-196), and PD-L2 (Abbas & Lichtman, CELLULAR AND MOLECULAR IMMUNOLOGY, 5th Ed. (2003) Saunders, Philadelphia, p. 171; Brown et. al. (2003) The Journal of Immunology 170, 1257-1266). The expression of these proteins by cells residing in placental tissues is thought to mediate the immuno-privileged status of placental tissues in utero. To predict the extent to which umbilicus-derived cell lines elicit an immune response in vivo, the cell lines were tested in a one-way mixed lymphocyte reaction (MLR).
Cells were cultured in Growth medium (DMEM-low glucose (Gibco, Carlsbad, Calif.), 15% (v/v) fetal bovine serum (FBS); (Hyclone, Logan, Utah), 0.001% (v/v) betamercaptoethanol (Sigma, St. Louis, Mo.), 50 Units/milliliter penicillin, 50 micrograms/milliliter streptomycin (Gibco, Carlsbad, Calif.)) until confluent in T75 flasks (Corning, Corning, N.Y.) coated with 2% gelatin (Sigma, St. Louis, Mo.).
Cells were washed in phosphate buffered saline (PBS) (Gibco, Carlsbad, Calif.) and detached with Trypsin/EDTA (Gibco, Carlsbad, Calif.). Cells were harvested, centrifuged, and re-suspended in 3% (v/v) FBS in PBS at a cell concentration of 1×10⁷per milliliter. Antibody (Table 14-1) was added to one hundred microliters of cell suspension as per manufacturer's specifications and incubated in the dark for 30 minutes at 4° C. After incubation, cells were washed with PBS and centrifuged to remove unbound antibody. Cells were re-suspended in five hundred microliters of PBS and analyzed by flow cytometry using a FACSCalibur instrument (Becton Dickinson, San Jose, Calif.).

TABLE 14-1

Antibodies

Antibody	Manufacturer	Catalog Number

HLA-DRDPDQ	BD Pharmingen (San Diego,	555558
	CA)
CD80	BD Pharmingen (San Diego,	557227
	CA)
CD86	BD Pharmingen (San Diego,	555665
	CA)
B7-H2	BD Pharmingen (San Diego,	552502
	CA)
HLA-G	Abcam (Cambridgeshire, UK)	ab 7904-100
CD 178	Santa Cruz (San Cruz, CA)	sc-19681
PD-L2	BD Pharmingen (San Diego,	557846
	CA)
Mouse IgG2a	Sigma (St. Louis, MO)	F-6522
Mouse IgG1kappa	Sigma (St. Louis, MO)	P-4685

Cryopreserved vials of passage 10 umbilical cord-derived CELLs labeled as cell line A were sent on dry ice to CTBR (Senneville, Quebec) to conduct a mixed lymphocyte reaction using CTBR SOP no. CAC-031. Peripheral blood mononuclear cells (PBMCs) were collected from multiple male and female volunteer donors. Stimulator (donor) allogeneic PBMC, autologous PBMC, and cell lines were treated with mitomycin C. Autologous and mitomycin C-treated stimulator cells were added to responder (recipient) PBMCs and cultured for 4 days. After incubation, [³H]thymidine was added to each sample and cultured for 18 hours. Following harvest of the cells, radiolabeled DNA was extracted, and [³H]-thymidine incorporation was measured using a scintillation counter.
The stimulation index for the allogeneic donor (SIAD) was calculated as the mean proliferation of the receiver plus mitomycin C-treated allogeneic donor divided by the baseline proliferation of the receiver. The stimulation index of the umbilical cord-derived cells was calculated as the mean proliferation of the receiver plus mitomycin C-treated cell line divided by the baseline proliferation of the receiver.
Six human volunteer blood donors were screened to identify a single allogeneic donor that will exhibit a robust proliferation response in a mixed lymphocyte reaction with the other five blood donors. This donor was selected as the allogeneic positive control donor. The remaining five blood donors were selected as recipients. The allogeneic positive control donor and umbilical cord-derived cell lines were mitomycin C-treated and cultured in a mixed lymphocyte reaction with the five individual allogeneic receivers. Reactions were performed in triplicate using two cell culture plates with three receivers per plate (Table 14-2). The average stimulation index ranged from 6.5 (plate 1) to 9 (plate 2) and the allogeneic donor positive controls ranged from 42.75 (plate 1) to 70 (plate 2) (Table 14-3).

TABLE 14-2

Mixed Lymphocyte Reaction Data-Cell Line A (Umbilical cord)
DPM for Proliferation Assay

Analytical

Culture

Replicates

number	System	1	2	3	Mean	SD	CV

Plate ID: Plate1

IM04-2478	Proliferation baseline of receiver	1074	406	391	623.7	390.07	62.5
	Control of autostimulation (Mitomycin C treated	672	510	1402	861.3	475.19	55.2
	autologous cells)
	MLR allogenic donor IM04-2477 (Mitomycin C treated)	43777	48391	38231	43466.3	5087.12	11.7
	MLR with cell line (Mitomycin C treated cell type A)	2914	5622	6109	4881.7	1721.36	35.3
SI (donor)					70
SI (cell line)					8
IM04-2479	Proliferation baseline of receiver	530	508	527	521.7	11.93	2.3
	Control of autostimulation (Mitomycin C treated	701	567	1111	793.0	283.43	35.7
	autologous cells)
	MLR allogenic donor IM04-2477 (Mitomycin C treated)	25593	24732	22707	24344.0	1481.61	6.1
	MLR with cell line (Mitomycin C treated cell type A)	5086	3932	1497	3505.0	1832.21	52.3
SI (donor)					47
SI (cell line)					7
IM04-2480	Proliferation baseline of receiver	1192	854	1330	1125.3	244.90	21.8
	Control of autostimulation (Mitomycin C treated	2963	993	2197	2051.0	993.08	48.4
	autologous cells)
	MLR allogenic donor IM04-2477 (Mitomycin C treated)	25416	29721	23757	26298.0	3078.27	11.7
	MLR with cell line (Mitomycin C treated cell type A)	2596	5076	3426	3699.3	1262.39	34.1
SI (donor)					23
SI (cell line)					3
IM04-2481	Proliferation baseline of receiver	695	451	555	567.0	122.44	21.6
	Control of autostimulation (Mitomycin C treated	738	1252	464	818.0	400.04	48.9
	autologous cells)
	MLR allogenic donor IM04-2477 (Mitomycin C treated)	13177	24885	15444	17835.3	6209.52	34.8
	MLR with cell line (Mitomycin C treated cell type A)	4495	3671	4674	4280.0	534.95	12.5
SI (donor)					31
SI (cell line)					8

Plate ID: Plate 2

IM04-2482	Proliferation baseline of receiver	432	533	274	413.0	130.54	31.6
	Control of autostimulation (Mitomycin C treated	1459	633	598	896.7	487.31	54.3
	autologous cells)
	MLR allogenic donor IM04-2477 (Mitomycin C treated)	24286	30823	31346	28818.3	3933.82	13.7
	MLR with cell line (Mitomycin C treated cell type A)	2762	1502	6723	3662.3	2724.46	74.4
SI (donor)					70
SI (cell line)					9
IM04-2477	Proliferation baseline of receiver	312	419	349	360.0	54.34	15.1
(allogenic donor)	Control of autostimulation (Mitomycin treated autologous cells)	567	604	374	515.0	123.50	24.0
Cell line type A	Proliferation baseline of receiver	5101	3735	2973	3936.3	1078.19	27.4
	Control of autostimulation (Mitomycin treated autologous cells)	1924	4570	2153	2882.3	1466.04	50.9

TABLE 14-3

Average stimulation index of umbilical cord-derived cells and an
allogeneic donor in a mixed lymphocyte reaction with five individual
allogeneic receivers.

		Umbilical
	Recipient	Cord

Plate 1 (receivers 1-4)	42.75	6.5
Plate 2 (receiver 5)	70	9

Histograms of umbilical cord-derived cells analyzed by flow cytometry show negative expression of HLA-DR, DP, DQ, CD80, CD86, and B7-H2, as noted by fluorescence value consistent with the IgG control, indicating that umbilical cord-derived cell lines lack the cell surface molecules required to directly stimulate allogeneic PBMCs (e.g., CD4⁺ T cells).
Histograms of umbilical cord-derived cells analyzed by flow cytometry show positive expression of PD-L2, as noted by the increased value of fluorescence relative to the IgG control, and negative expression of CD178 and HLA-G, as noted by fluorescence value consistent with the IgG control.
In the mixed lymphocyte reactions conducted with umbilical cord-derived cell lines, the average stimulation index ranged from 6.5 to 9, and that of the allogeneic positive controls ranged from 42.75 to 70. Umbilical cord-derived cell lines were negative for the expression of the stimulating proteins HLA-DR, HLA-DP, HLA-DQ, CD80, CD86, and B7-H2, as measured by flow cytometry. Umbilical cord-derived cell lines were negative for the expression of immuno-modulating proteins HLA-G and CD178 and positive for the expression of PD-L2, as measured by flow cytometry. Allogeneic donor PBMCs contain antigen-presenting cells expressing HLA-DP, DR, DQ, CD80, CD86, and B7-H2, thereby allowing for the stimulation of allogeneic PBMCs (e.g. naïve CD4⁺ T cells). The absence of antigen-presenting cell surface molecules on umbilical cord-derived cells required for the direct stimulation of allogeneic PBMCs (e.g., naïve CD4⁺ T cells) and the presence of PD-L2, an immuno-modulating protein, may account for the low stimulation index exhibited by these cells in a MLR as compared to allogeneic controls.

References

Bruder et al. U.S. Pat. No. 6,355,239 B1 (2002).
Abbas et al., Cellular and Molecular Immunology, 5th Ed. (2003) Saunders, Philadelphia, p. 171.
Bouteiller et al., Placenta, 2003; 24:S10-S15.
Coumans et al., Journal of Immunological Methods, 1999; 224:185-196.
Brown et al., The Journal of Immunology, 2003; 170:1257-1266.

Claims

1. A method of preparing a conditioned media, the method comprising:

seeding a mammalian umbilical cord tissue-derived cell (UTC) in a culture media;

reducing serum content of the culture media;

transferring the UTC from the culture media to a serum-free basal media;

growing the UTC in the serum-free basal media; and

isolating the UTC from the serum-free basal media leaving a conditioned media.

2. The method of claim 1, wherein the UTC is grown in the serum-free basal media for up to 24 hours.

3. The method of claim 1, wherein the conditioned media is filtered.

4. The method of claim 3, wherein the conditioned media is filtered using an approximately 22 micron filter.

5. The method of claim 1, wherein the conditioned media is concentrated.

6. The method of claim 5, wherein the conditioned media is concentrated with a cut-off membrane.

7. The method of claim 6, wherein the cut-off membrane is an approximately 5 kDa cut-off membrane.

8. The method of claim 1, wherein the reducing serum content comprises weaning the UTC from the culture media.

9. The method of claim 8, wherein the weaning comprises reducing serum content of the culture media in increments.

10. The method of claim 9, wherein the serum content is reduced in increments of about 5% to about 60%.

11. The method of claim 9, wherein the serum content is reduced in increments of about 50%.

12. The method of claim 9, wherein the UTC grows for about 1 to 3 passages in each increment.

13. The method of claim 12, wherein the UTC grows for about 2 passages in each increment.

14. The method of claim 1, wherein the culture media is a static culture.

15. The method of claim 1, wherein the culture media is a microcarrier bead culture.

16. The method of claim 1, further comprising preliminarily culturing the UTC in a standard culture media and isolating the UTC from the standard culture media before seeding.

17. The method of claim 1, wherein the UTC is a human umbilical cord tissue-derived cell.

18. A method of preparing a conditioned media, the method comprising:

providing an isolated mammalian umbilical tissue-derived cell (UTC) in a culture media;

reducing serum content of the culture media in one or more incremental steps;

transferring the UTC from the reduced serum content culture media to a serum-free basal media when the serum content reaches a predetermined level;

growing the UTC in the serum-free basal media for no more than 24 hours; and

isolating the UTC from the serum-free basal media leaving a conditioned media.

19. The method of claim 18, wherein the transferring comprises weaning the UTC from the culture media.

20. The method of claim 18, wherein the transferring comprises replacing the reduced serum culture media with the serum-free basal media.

21. The method of claim 18, further comprising filtering the conditioned media.

22. The method of claim 18, further comprising concentrating the conditioned media.

23. The method of claim 18, wherein the UTC is a human umbilical cord tissue-derived cell.

24. A conditioned media generated by seeding a human umbilical tissue-derived cell (UTC) in a culture media, wherein serum content of the culture media is reduced prior to transfer of the UTC to a serum-free basal media, and wherein the UTC is then isolated from the serum-free basal media leaving a conditioned media.

25. The conditioned media of claim 24, wherein the UTC is grown in the serum-free basal media for up to 24 hours.

26. The conditioned media of claim 24, wherein the conditioned media is filtered.

27. The conditioned media of claim 26, wherein the conditioned media is filtered using an approximately 22 micron filter.

28. The conditioned media of claim 24, wherein the conditioned media is concentrated.

29. The conditioned media of claim 28, wherein the conditioned media is concentrated with a cut-off membrane.

30. The conditioned media of claim 29, wherein the cut-off membrane is an approximately 5 kDa cut-off membrane.

31. The conditioned media of claim 24, wherein reducing the serum content comprises weaning the UTC from the culture media.

32. The conditioned media of claim 31, wherein the weaning comprises reducing serum content of the culture media in increments.

33. The conditioned media of claim 32, wherein the serum content is reduced in increments of about 5% to about 60%.

34. The conditioned media of claim 33, wherein the serum content is reduced in increments of about 50%.

35. The conditioned media of claim 32, wherein the UTC grows for about 1 to 3 passages in each increment.

36. The conditioned media of claim 35, wherein the UTC grows for about 2 passages in each increment.

37. The conditioned media of claim 24, wherein the culture media is a static culture.

38. The conditioned media of claim 24, wherein the culture media is a microcarrier bead culture.

39. The conditioned media of claim 24, further comprising preliminarily culturing the UTC in a standard culture media and isolating the UTC from the standard culture media before seeding.

40. The conditioned media of claim 24, wherein the UTC is a human umbilical cord tissue-derived cell.